Individual
DR. ERIC WAYNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1310 N IL RT 251, LOSTANT, IL 61334
(815) 368-3421
(815) 368-3404
Mailing address
PO BOX 207, 1310 N IL RT 251, LOSTANT, IL 61334
(815) 368-3421
(815) 368-3404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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