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Individual

DR. MATTHEW ROBERT ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6948 W WINDSOR AVE, BERWYN, IL 60402-3335
(708) 749-4617
(708) 749-0094
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036114336
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036 114336
IL
Enumeration date
06/18/2007
Last updated
01/24/2023
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