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Contact Information

NICOLAS S ANDERSON, DPM
353 E BURLINGTON ST
SUITE 100
RIVERSIDE, IL60546-2189
 Phone: 708-442-0221
 Fax: 708-442-5670
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NICOLAS S ANDERSON · (Male)

NPI # 1124179817
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/16/2007
Last updated 06/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016-005287
Hospital affiliation(s)
  • ADVENTIST LA GRANGE MEMORIAL HOSPITAL - (Acute Care)
    5101 S WILLOW SPRINGS RD
    LA GRANGE, IL 60525
  • HINSDALE HOSPITAL - (Acute Care)
    120 NORTH OAK ST
    HINSDALE, IL 60521
  • MACNEAL HOSPITAL - (Acute Care)
    3249 SOUTH OAK PARK AVENUE
    BERWYN, IL 60402
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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