Individual
GREGORY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5145 N CALIFORNIA AVE STE M276, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 989-1734
Mailing address
2740 W FOSTER AVENUE, SWEDISH COVENANT MEDICAL GROUP, CHICAGO, IL 60625
(773) 878-8200
(773) 293-8804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.143664
IL
208M00000X
Hospitalist Physician
Primary
036.143664
IL
Other
Enumeration date
07/03/2013
Last updated
10/30/2020
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