SearchIllinois1223G0001X

Stephen Anderson

NPI 1861415960 · on the registry since 2006

Practice

Address
542 Pulaski Rd
Calumet City, IL 60409
Phone
(708) 891-2190
Fax
(708) 891-2878

Registry record

Primary taxonomy
1223G0001X
1223G0001X
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