Individual
EMILY MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1715 E 95TH ST, CHICAGO, IL 60617-4708
(773) 768-4437
(773) 564-3515
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209010002
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.000269
IL
Other
Enumeration date
11/08/2012
Last updated
06/05/2025
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