Anderson, Jeffrey W

Anderson, Jeffrey W is an individual health care provider with primary practice located at 1221 N Highland Ave , Aurora IL 60506-1404. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Anderson, Jeffrey W can be contacted via phone (630) 859-8740.

Contact Information

Primary practice address
1221 N Highland Ave Aurora IL 60506-1404
Phone: (630) 859-8740
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070007108 Illinois

Profile Details

NPI number 1578598512
LBN Legal business name Anderson, Jeffrey W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 11th, 2022 - 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 1578598512 NPPES
Illinois Other 1619908 BCBS IL GROUP NUMBER
Illinois Other 367885100 BCBS IL GROUP NUMBER
Illinois Other 568080 BCBS IL GROUP NUMBER
Illinois Other 568150 BCBS IL GROUP NUMBER
Illinois Other 1623066 BCBS IL GROUP NUMBER
Illinois Other 567700 BCBS IL GROUP NUMBER

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