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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750382974 NPPES
Illinois MEDICAID 036100002

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