Provider Demographics
NPI:1063787398
Name:TADDEI, ANA CLAUDIA (MD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:CLAUDIA
Last Name:TADDEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANA CLAUDIA
Other - Middle Name:DE CASTRO CARRAZEDO
Other - Last Name:TADDEI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2650 RIDGE AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-982-6715
Mailing Address - Fax:847-982-3394
Practice Address - Street 1:2650 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1700
Practice Address - Country:US
Practice Address - Phone:847-570-2530
Practice Address - Fax:847-570-0231
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036139314208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics