Individual
MARK JOSEPH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 542-2000
Mailing address
327 W BELDEN AVE APT 1, CHICAGO, IL 60614-7034
(415) 476-1239
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036161537
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
A53655088024
IL
Other
Enumeration date
03/22/2016
Last updated
02/09/2026
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