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Contact Information

DYLAN T ANDERSON
255 E LAKE ST STE AND106
BLOOMINGDALE, IL60108-1287
 Phone: 815-295-5470
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for DYLAN T ANDERSON · (Male)

NPI Number 1043837230
Status Active
Credentials
Entity Individual
Enumeration date 07/03/2020
Last updated 07/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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