Anderson, Marissa Lea
Anderson, Marissa Lea is an individual health care provider with primary practice located at 1725 W Harrison St Ste 1138 , Chicago IL 60612-3845. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Anderson, Marissa Lea can be contacted via phone (312) 942-7088.Contact Information
Primary practice address
1725 W Harrison St Ste 1138
Chicago IL 60612-3845
Phone: (312) 942-7088
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 262804 | Massachusetts |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 83360 | Georgia |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | BP10038035 | Texas |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 036.161754 | Illinois |
Profile Details
NPI number | 1043539836 |
---|---|
LBN Legal business name | Anderson, Marissa Lea |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 19th, 2010 |
Last updated | Feb 20th, 2023 - about 2 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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