Anderson, Derrius J.

Anderson, Derrius J. is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc1052 , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Anderson, Derrius J. can be contacted via phone (773) 702-2500.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc1052 Chicago IL 60637-1443
Phone: (773) 702-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 125.076207 Illinois

Profile Details

NPI number 1003436163
LBN Legal business name Anderson, Derrius J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2020
Last updated May 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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