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Contact Information

RICHARD ANDERSON, MD
1001 MAIN STREET
3RD FLOOR
PEORIA, IL61606-2037
 Phone: 309-495-0200
 Fax: 309-676-6545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RICHARD ANDERSON · (Male)

NPI # 1699703892
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 01/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036095602
  • IL Medicaid 036095602-1
  • IL Other 7215166 BLUE CROSS BLUE SHIELD
  • IL Other 020046522 RR MEDICARE
Hospital affiliation(s)
  • GRAHAM HOSPITAL ASSOCIATION - (Acute Care)
    210 WEST WALNUT STREET
    CANTON, IL 61520
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
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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