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Individual
DR. ANNE ERICKSON SOUZA
Active
Individual
DR. ANNE ERICKSON SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036169952
IL
208600000X
Surgery Physician
Primary
125074794
IL
2086S0127X
Trauma Surgery Physician
Primary
036169952
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S20004592623
—
IL
Enumeration date
03/29/2019
Last updated
03/24/2026
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