Provider Demographics
NPI:1487920302
Name:JAMES HUSSAIN, ANNALISE CHRISTINE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNALISE
Middle Name:CHRISTINE
Last Name:JAMES HUSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNALISE
Other - Middle Name:CHRISTINE
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:211 E CHICAGO AVE
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2637
Mailing Address - Country:US
Mailing Address - Phone:312-943-0282
Mailing Address - Fax:312-943-0284
Practice Address - Street 1:211 E CHICAGO AVE
Practice Address - Street 2:SUITE 1200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2637
Practice Address - Country:US
Practice Address - Phone:312-943-0282
Practice Address - Fax:312-943-0284
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-25
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-140555207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology