Individual
MICHAEL VINCENT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
9977 WOODS DR, SKOKIE, IL 60077-1057
(224) 364-2273
Mailing address
9977 WOODS DR, SKOKIE, IL 60077-1057
(224) 364-2273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209027531
IL
Other
Enumeration date
06/12/2023
Last updated
08/14/2023
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