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Contact Information

KATHLEEN E ANDERSON, PA-C
2151 WAUKEGAN RD
SUITE 100
BANNOCKBURN, IL60015-1885
 Phone: 847-444-5300
 Fax: 847-267-0694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHLEEN E ANDERSON · (Female)

NPI # 1487674545
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/20/2006
Last updated 03/19/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 085001480
  • IL License # 85001480
Hospital affiliation(s)
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
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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