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Contact Information

EVA ANDERSON
6748 W 111TH ST
WORTH, IL60482-1912
 Phone: 815-274-0760
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for EVA ANDERSON · (Female)

NPI Number 1740936061
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2022
Last updated 08/07/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 178017273
  • IL License # 180015581
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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