Individual
DR. NILS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001A 6TH ST, DEPT OF SPECIALTY MEDICINE, NAVAL HEALTH CLINIC, GREAT LAKES, IL 60088-2811
(847) 688-3444
(847) 688-4487
Mailing address
DEPT OF SPECIALTY MEDICINE, NAVAL HEALTH CLINIC, 3001A SIXTH ST, BLDG 200H, GREAT LAKES, IL 60088
(847) 688-3444
(847) 688-4487
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-108038
IL
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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