Individual
SANDRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4220 W 95TH ST STE 210, OAK LAWN, IL 60453-2793
(312) 949-4200
(708) 423-1899
Mailing address
1 N BROADWAY ST, DES PLAINES, IL 60016-2335
(847) 298-3150
(847) 298-5235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-117093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-117093
STATE LICENSE
IL
Enumeration date
11/06/2006
Last updated
05/03/2022
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