Anderson, Joel R

Anderson, Joel R is an sole proprietor health care provider with primary practice located at 4920 N Central Ave Suite 1A, Chicago IL 60630-2338. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Anderson, Joel R can be contacted via phone (847) 358-7005.

Contact Information

Primary practice address
4920 N Central Ave Suite 1A Chicago IL 60630-2338
Phone: (847) 358-7005
Fax: (847) 358-7065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004882 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016.004882 Illinois

Profile Details

NPI number 1952341505
LBN Legal business name Anderson, Joel R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jul 19th, 2016 - about 9 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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