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Contact Information

MARISSA L ANDERSON, MD
1725 W HARRISON ST STE 1138
CHICAGO, IL60612-3845
 Phone: 312-942-7088
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARISSA L ANDERSON · (Female)

NPI Number 1043539836
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2010
Last updated 02/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 83360
  • IL License # 036.161754
  • MA License # 262804
  • TX License # BP10038035
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • PIEDMONT HOSPITAL - (Acute Care)
    1968 PEACHTREE RD NW
    ATLANTA, GA 30309
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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