John Anderson in Mchenry - Internal Medicine

John Anderson - NPI 1962450049

John Anderson is a Internal Medicine in Mchenry, Illinois. John Anderson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John Anderson is 1962450049. The last update date is 2018-10-19.

John Anderson's current location address is 2507 N Richmond Rd, Mchenry, Illinois. You can contact this provider via phone number 8153386600 and fax number 8153448957. The mailing address for John Anderson is 2507 N Richmond Rd, Mchenry, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John Anderson
Address 2507 N Richmond Rd, Mchenry, Illinois
Phone Number 8153386600
Fax Number 8153448957
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1962450049
Provider Enumeration Date 2006-05-04
Last Updated Date 2018-10-19

Provider Mailing Address Detail

Address 2507 N Richmond Rd
City Mchenry
State Illinois (IL)
Post Code 600515407
Phone Number 8153386600
Fax Number 8153448957

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36103841
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
036-103841 IL STATE LICENSE NUMBER
P00015719 IL MEDICARE RAILROAD CARRIER

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FAQs about John Anderson

What is the unique provider identifier assigned to John Anderson?

The John Anderson has been issued the NPI (National Provider Identifier) 1962450049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where John Anderson is geographically located?

The John Anderson is physically situated at the following location: 2507 N Richmond Rd, Mchenry, IL, 600515407.

What is the John Anderson's area of specialization and corresponding taxonomy classification?

The John Anderson's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1962450049 to John Anderson?

The Centers for Medicare & Medicaid Services assigned the 1962450049 to John Anderson on 2006-05-04.

When was the information regarding John Anderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Anderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-10-19.

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