National Provider Identifier Database

MARISSA L ANDERSON, MD – NPI #1043539836
Colon & Rectal Surgery

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.


Contact Information

MARISSA L ANDERSON, MD
1725 W HARRISON ST STE 1138
CHICAGO, IL60612-3845
Phone: 312-942-7088
Fax:
Website:
Specialty Taxonomy Code
* Colon & Rectal Surgery 208C00000X
Student in an Organized Health Care Education/Training Program 390200000X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for MARISSA L ANDERSON

NPI Number 1043539836
Credentials MD
Entity Individual
Enumeration date 05/19/2010
Last updated 02/20/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 83360
  • IL License #: 036.161754
  • MA License #: 262804
  • TX License #: BP10038035
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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