Alexandra Anderson in Lake Bluff - General Practice
Alexandra Anderson - NPI 1700876661
Alexandra Anderson is a General Practice in Lake Bluff, Illinois. Alexandra Anderson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alexandra Anderson is 1700876661. The last update date is 2013-11-07.
Alexandra Anderson's current location address is P.o Box 564, Lake Bluff, Illinois. You can contact this provider via phone number 7734654500 and fax number 7733532102. The mailing address for Alexandra Anderson is P.o Box 564, Lake Bluff, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexandra Anderson |
|---|---|
| Address | P.o Box 564, Lake Bluff, Illinois |
| Phone Number | 7734654500 |
| Fax Number | 7733532102 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1700876661 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2013-11-07 |
Provider Mailing Address Detail
| Address | P.o Box 564 |
|---|---|
| City | Lake Bluff |
| State | Illinois (IL) |
| Post Code | 60044 |
| Phone Number | 7734654500 |
| Fax Number | 7733532102 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19025998 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9176963 | IL | DORAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Alexandra Anderson by the Centers for Medicare & Medicaid Services?
The Alexandra Anderson has been assigned the NPI (National Provider Identifier) 1700876661 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Alexandra Anderson's facilities are geographically located?
The facilities of Alexandra Anderson are physically situated at the following location: P.O Box 564, Lake Bluff, IL, 60044.
What is the Alexandra Anderson's area of specialization and corresponding taxonomy classification?
The Alexandra Anderson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1700876661 to Alexandra Anderson?
The Centers for Medicare & Medicaid Services assigned the 1700876661 to Alexandra Anderson on 2005-10-24.
As of what date were the details pertaining to Alexandra Anderson last refreshed?
The information related to the Alexandra Anderson, including its address, specialty, and other relevant details, was last updated on 2013-11-07.