Anderson, Nicolas S

Anderson, Nicolas S is an individual health care provider with primary practice located at 353 E Burlington St Suite 100, Riverside IL 60546-2189. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Anderson, Nicolas S can be contacted via phone (708) 442-0221.

Contact Information

Primary practice address
353 E Burlington St Suite 100 Riverside IL 60546-2189
Phone: (708) 442-0221
Fax: (708) 442-5670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-005287 Illinois

Profile Details

NPI number 1124179817
LBN Legal business name Anderson, Nicolas S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 6th, 2012 - about 13 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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