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LIZANDRA ANZO PA
NPI 1376099879
Physician Assistant in Chicago, IL

Active since August 25, 2016PECOS Enrolled
4255 W 63RD ST, CHICAGO, IL 60629(773) 424-4048 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Aug 22, 2022, Aug 15, 2022 and 2 more (5 updates tracked since 2016).

About Lizandra Anzo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIZANDRA ANZO PA (NPI 1376099879) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085-008930) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376099879
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLIZANDRA ANZOCredential: PA
Location Address4255 W 63RD STChicago, IL 60629-5041
Mailing Address4255 W 63rd StChicago, IL 60629-5041 · (773) 424-4048
Phone(773) 424-4048
Sole ProprietorYes
Enumeration DateAugust 25, 2016
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1376099879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-008930
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedInterpreterTaxonomy 171R00000X
4255 W 63RD ST, Chicago, IL 60629
Open in Google Maps ↗

Other Identifiers 2

Other085-008930IL · State Medical License
Other385006802IL · State Controlled Substance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lizandra Anzo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60629 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRSHED MEDICAL CENTER S C
Internal Medicine
4255 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 424-4048
SHERMI V PARIKH DPM
Podiatrist
4255 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 818-6622
DR. LUVIANCA J. FONSECA M.D.
Family Medicine
4255 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 424-4048
DYNAMICO PHYSICAL THERAPY AND REHABILITATION CENTER SC
Clinic/Center (Physical Therapy)
4255 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 424-6367
RANGEL EYE CARE, LTD
Optometrist
4255 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 306-0981
SALUD PHARMACY INC.
Pharmacy (Community/Retail Pharmacy)
4255 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 424-4262
DR. JOHN A RANGEL O.D.
Optometrist
4255 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 306-0981
ALIVIO MEDICAL CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4255 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 254-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lizandra Anzo's NPI number?

The NPI number for Lizandra Anzo is 1376099879. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Lizandra Anzo located?

Lizandra Anzo practices at 4255 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 424-4048.

What is Lizandra Anzo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lizandra Anzo enrolled in Medicare?

Yes. Lizandra Anzo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lizandra Anzo was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.