Individual
DR. EDWIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
539 ROOSEVELT RD # 1078, GLEN ELLYN, IL 60137-5734
(630) 384-9757
Mailing address
539 ROOSEVELT RD # 1078, GLEN ELLYN, IL 60137-5734
(630) 384-9757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036076114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076114
—
IL
Enumeration date
05/05/2006
Last updated
08/18/2025
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