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Contact Information

RICHARD E ANDERSON, OD
4301 N MULFORD RD
LOVES PARK, IL61111
 Phone: 815-282-5500
 Fax: 815-633-2305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RICHARD E ANDERSON · (Male)

NPI Number 1437232477
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 46006700
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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