Mellgren, Anders

Mellgren, Anders is an individual health care provider with primary practice located at 1801 W Taylor St 3F Occ, Chicago IL 60612-4795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Mellgren, Anders can be contacted via phone (312) 355-4300.

Contact Information

Primary practice address
1801 W Taylor St 3F Occ Chicago IL 60612-4795
Phone: (312) 355-4300
Fax: (312) 413-1206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 45364 Minnesota
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036.133002 Illinois

Profile Details

NPI number 1053320671
LBN Legal business name Mellgren, Anders
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053320671 NPPES
Illinois MEDICAID 036.133002
Illinois MEDICAID 764487600

Popular Providers