Provider Demographics
NPI:1588892277
Name:GURRERA, ANNA CHRISTINE (DPM)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:CHRISTINE
Last Name:GURRERA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 ELA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2339
Mailing Address - Country:US
Mailing Address - Phone:847-540-9949
Mailing Address - Fax:847-540-9971
Practice Address - Street 1:765 ELA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2385
Practice Address - Country:US
Practice Address - Phone:847-540-9949
Practice Address - Fax:847-540-9971
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL135000692213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery