Organization
K. ANAND, MD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNASWAMY ANAND M.D. (PHYSICIAN OWNER)
(630) 789-1316
Entity
Organization
Contact information
Practice address
4 CLUBSIDE CT, BURR RIDGE, IL 60527-8129
(630) 789-1316
(640) 734-8385
Mailing address
4 CLUBSIDE CT, BURR RIDGE, IL 60527-8129
(630) 789-1316
(640) 734-8385
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215412
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
08/18/2008
Last updated
08/18/2008
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