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Contact Information

ANDERSONMONT
1200 N GREEN BAY RD
WAUKEGAN, IL60085-2246
 Phone: 847-249-3338
 Fax: 847-249-8218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANDERSONMONT · (Female)

NPI Number 1386030625
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2015
Last updated 07/28/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 016004882
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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