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Contact Information

ERICA ANDERSON
1414 MAIN ST
MELROSE PARK, IL60160-3902
 Phone: 708-681-0073
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ERICA ANDERSON · (Female)

NPI # 1659820355
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2016
Last updated 09/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • License # NONE
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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