| Anointed Health Partners Limited | |
|
2315 East 93rd Street Suite 440 Chicago IL 60617-3936 | |
| (773) 768-2535 | |
| (773) 374-4079 |
| Full Name | Anointed Health Partners Limited |
|---|---|
| Speciality | Family Medicine |
| Location | 2315 East 93rd Street, Chicago, Illinois |
| Authorized Official Name and Position | Gregory E Smith (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7737682535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anointed Health Partners Limited 2315 East 93rd Street Suite 440 Chicago IL 60617-3936 Ph: (773) 768-2535 | Anointed Health Partners Limited 2315 East 93rd Street Suite 440 Chicago IL 60617-3936 Ph: (773) 768-2535 |
| NPI Number | 1912074873 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/01/2016 |
| Medicare PECOS PAC ID | 1759340292 |
|---|---|
| Medicare Enrollment ID | O20041008000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912074873 | NPI | - | NPPES |
| 1604779 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julie V Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205986486 PECOS PAC ID: 2163316613 Enrollment ID: I20040430001166 |
| Provider Name | Wanda D Elliott Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669538641 PECOS PAC ID: 7517927536 Enrollment ID: I20101105000900 |
| Provider Name | Gregory Ernest Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992861918 PECOS PAC ID: 0244290260 Enrollment ID: I20101109000661 |
| Provider Name | Angela Martine Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770730343 PECOS PAC ID: 8820256415 Enrollment ID: I20120229000255 |
| Provider Name | Jennifer Danielle Mainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467979260 PECOS PAC ID: 5991079899 Enrollment ID: I20170915001121 |
| Provider Name | Nicole Q Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972056109 PECOS PAC ID: 4183990971 Enrollment ID: I20171023002115 |
| Provider Name | Stequita Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811480304 PECOS PAC ID: 5294070496 Enrollment ID: I20210910000977 |
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