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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

NPI # 1386030625
LBN Legal business name ANDERSONMONT
Authorized official JOEL ANDERSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2015
Last updated 07/28/2015 - About 11 years ago
Identifiers
IL License # 016004882
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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