Individual
DR. NICOLAS S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
353 E BURLINGTON ST, SUITE 100, RIVERSIDE, IL 60546-2189
(708) 442-0221
(708) 442-5670
Mailing address
353 E BURLINGTON STREET, SUITE 100, RIVERSIDE, IL 60546
(708) 442-0221
(708) 442-5670
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005287
IL
Other
Enumeration date
01/16/2007
Last updated
06/06/2012
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