Search › Illinois › 183500000X
Russell Anderson
NPI 1124328794 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1258 S Route 12
Fox Lake, IL 60020 - Phone
- (847) 587-4966
- Fax
- (847) 587-4731
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois