Carlson, Andrea Gale
Carlson, Andrea Gale is an individual health care provider with primary practice located at 3815 Highland Ave Advocate Good Samaritan Hospital, Downers Grove IL 60515-1500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Carlson, Andrea Gale can be contacted via phone (630) 275-5900.Contact Information
Primary practice address
3815 Highland Ave Advocate Good Samaritan Hospital
Downers Grove IL 60515-1500
Phone: (630) 275-5900
Fax: (630) 734-1560
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-100002 | Illinois |
Profile Details
NPI number | 1750382974 |
---|---|
LBN Legal business name | Carlson, Andrea Gale |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Dec 21st, 2021 - about 3 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 | 1750382974 | NPPES |
Illinois | MEDICAID | 036100002 |
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