Edgar Anderson is a Dermatology in Maywood, Illinois. Edgar Anderson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Edgar Anderson is 1679550735. The last update date is 2007-07-08.
Edgar Anderson's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 7082169000 and fax number 7082169033. The mailing address for Edgar Anderson is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Anderson |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 7082169000 |
| Fax Number | 7082169033 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679550735 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601533328 |
| Phone Number | 7082169000 |
| Fax Number | 7082169033 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 36102114 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36102114 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edgar Anderson by the Centers for Medicare & Medicaid Services?
The Edgar Anderson has been assigned the NPI (National Provider Identifier) 1679550735. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Edgar Anderson's facilities are geographically located?
The facilities of Edgar Anderson are physically situated at the following location: 2160 S 1St Ave, Maywood, IL, 601533328.
What is Edgar Anderson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edgar Anderson's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
When did the Edgar Anderson receive its 1679550735?
The Edgar Anderson was issued its 1679550735 on 2005-12-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Edgar Anderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edgar Anderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.