Anderson, John

Anderson, John is an individual health care provider with primary practice located at 2507 N Richmond Rd , Mchenry IL 60051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, John can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
2507 N Richmond Rd Mchenry IL 60051
Phone: (815) 338-6600
Fax: (815) 344-8957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036103841 Illinois

Profile Details

NPI number 1962450049
LBN Legal business name Anderson, John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 19th, 2018 - about 8 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 1962450049 NPPES
Illinois Other 036-103841 STATE LICENSE NUMBER
Illinois Other P00015719 STATE LICENSE NUMBER

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