Search › Illinois › 122300000X
Mark Anderson, D.D.S
NPI 1245399096 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2320 Walnut St
Blue Island, IL 60406 - Phone
- (708) 371-3311
- Fax
- (708) 371-7963
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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