ANNA-LEE CLARKE (NPI# 1356870273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356870273 |
| Entity Type | Individual |
| Full Name | ANNA-LEE CLARKE |
| Credential | MD |
| Practice Address |
2650 Ridge Ave Ste 1304 Evanston IL 60201-1718 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 8475702019 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
125.069892 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2650 RIDGE AVE STE 1304 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649535782 | John Warren Ebersole | Radiology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1718 | 2012-07-04 |
| 1750907648 | Ayshah Mahmud | Dentist | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-06-17 |
| 1831714740 | Corey Rollor | Dentist | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-06-16 |
| 1821613407 | Patrick Mulligan | Internal Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-06-10 |
| 1376166546 | Ann Kim | Family Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-22 |
| 1396368759 | Tyler Williams | Family Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-20 |
| 1679195259 | Sariya Ali Siddiqui | Student in an Organized Health Care Education/Training Program | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-18 |
| 1508488438 | Mahnoor Asghar | Student in an Organized Health Care Education/Training Program | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-14 |
| 1275155442 | Anu Pandit | Student in an Organized Health Care Education/Training Program | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-11 |
| 1992327209 | Robert Terry Toelke | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327209 | Robert Terry Toelke | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-08 |
| 1801416235 | Joshua Logan Wodskow | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-04-27 |
| 1730734674 | Ansa Mehreen | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2019-08-07 |
| 1922667021 | Sachie Ikegami | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2019-06-12 |
| 1194286369 | Adesola Anuoluwapo Akinyemi | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2019-03-28 |
| 1235690777 | Aibek Akmatbekov | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2019-03-27 |
| 1972099091 | Cory Matthew Gray | Pathology | Northshore University Healthsystem, Office of Academic, 2650 Ridge Ave. Suite 1304, Evanston, IL 60201 | 2018-07-02 |
| 1356836274 | Kiran Gujrati Manjee | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2018-06-22 |
| 1215458013 | Unknown Amandeep Kaur | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1718 | 2017-06-30 |
| 1831642750 | Crystal Bockoven | Pathology | 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-07-27 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.