Anderson, Sandra
Anderson, Sandra is an individual health care provider with primary practice located at 4220 W 95Th St Ste 210 , Oak Lawn IL 60453-2793. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anderson, Sandra can be contacted via phone (312) 949-4200.Contact Information
Primary practice address
4220 W 95Th St Ste 210
Oak Lawn IL 60453-2793
Phone: (312) 949-4200
Fax: (708) 423-1899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-117093 | Illinois |
Profile Details
| NPI number | 1669541868 |
|---|---|
| LBN Legal business name | Anderson, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | May 3rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669541868 | NPPES |
| Illinois | Other | 036-117093 | STATE LICENSE |
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