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Individual

DR. ANNE ERICKSON SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9650 GROSS POINT RD STE 3900, SKOKIE, IL 60076-5085
(847) 570-1700
(847) 982-1098
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 270-2040
(847) 570-5315

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036169952
IL
208600000X
Surgery Physician
Primary
125074794
IL
2086S0127X
Trauma Surgery Physician
Primary
036169952
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
S20004592623
IL
Enumeration date
03/29/2019
Last updated
03/24/2026
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