Ashley I Anderson
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1649920851
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1649920851
- Entity type
- Individual (NPI-1)
- Name
- Ashley I Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2022
- Certification date
- Jun 30, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 125079535 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2750 W North AveChicago, IL 60647-5247
Phone 312-666-3494
Mailing address
2750 W North AveChicago, IL 60647-5247
Phone 312-666-3494
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