Individual
KATHLEEN E. ANDERSON,
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2151 WAUKEGAN RD, SUITE 100, BANNOCKBURN, IL 60015-1885
(847) 444-5300
(847) 267-0694
Mailing address
2151 WAUKEGAN RD, SUITE 100, BANNOCKBURN, IL 60015-1885
(847) 444-5300
(847) 267-0694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001480
IL
363AM0700X
Medical Physician Assistant
85001480
IL
Other
Enumeration date
07/20/2006
Last updated
03/19/2026
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