Anderson, Theresia M

Anderson, Theresia M is an individual health care provider with primary practice located at 300 Randall Rd , Geneva IL 60134-4200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Theresia M can be contacted via phone (630) 208-4060.

Contact Information

Primary practice address
300 Randall Rd Geneva IL 60134-4200
Phone: (630) 208-4060
Fax: (630) 208-4401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209005217 Illinois

Profile Details

NPI number 1821006057
LBN Legal business name Anderson, Theresia M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Dec 8th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821006057 NPPES
Illinois Other 1032044 BCBS

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