Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariam Anis, MD

Individual provider Pulmonary Disease Physician · NPI 1013274349

Mariam Anis, MD is a Pulmonary Disease in Lake Forest, Illinois. Qualified in 2010, 16 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Ohio.

Years since qualifying
16
Licensed in
IL, OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 N Westmoreland Rd # LEVEL1
Lake Forest, IL 60045-1658
Phone: (847) 535-7647
Fax: (847) 535-7151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 Goodman St, Cincinnati, OH 45219-2364 — (513) 584-4505

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 036142926 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.126029 (OH)

Record details

NPI number1013274349
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2012
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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