Anderson, Michael Jon
Anderson, Michael Jon is an individual health care provider with primary practice located at 13755 S Cicero Ave , Crestwood IL 60445-1824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Anderson, Michael Jon can be contacted via phone (888) 220-6432.Contact Information
Primary practice address
13755 S Cicero Ave
Crestwood IL 60445-1824
Phone: (888) 220-6432
Fax: (630) 654-4253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036134127 | Illinois |
Profile Details
| NPI number | 1558593376 |
|---|---|
| LBN Legal business name | Anderson, Michael Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2009 |
| Last updated | Jan 5th, 2022 - about 4 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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