Andina, Robert J

Andina, Robert J is an individual health care provider with primary practice located at 6250 S Archer Ave , Chicago IL 60638-2639. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Andina, Robert J can be contacted via phone (773) 581-8400.

Contact Information

Primary practice address
6250 S Archer Ave Chicago IL 60638-2639
Phone: (773) 581-8400
Fax: (773) 581-9577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036059350 Illinois

Profile Details

NPI number 1346235280
LBN Legal business name Andina, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Dec 30th, 2021 - about 5 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 1346235280 NPPES
Illinois MEDICAID 036059350

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