Individual
JOHN C ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 N GREENLEAF ST, SUITE 202, GURNEE, IL 60031-3393
(847) 336-3200
(847) 336-1720
Mailing address
135 N GREENLEAF ST, SUITE 202, GURNEE, IL 60031-3393
(847) 336-3200
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21-5871
IL
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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