Edgar Anderson, MD | |
1160 S 1st Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153-2312 | |
(708) 216-9000 | |
(708) 216-9033 |
Full Name | Edgar Anderson |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679550735 | NPI | - | NPPES |
36102114 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 36102114 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Edgar Anderson, MD 2160 S 1st Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Edgar Anderson, MD 1160 S 1st Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153-2312 Ph: (708) 216-9000 |
Lauren Moy, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
James Swan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, (321 Lagrange Rd., Lagrande Park, Il.60526), Maywood, IL 60153 Phone: 708-485-1020 Fax: 708-485-1173 | |
Dr. Jenna Janiga Lullo, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Farinoosh Dadrass, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4962 | |
Dr. Lissette Carmen Ortiz-ferrer, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Building 101, Room 1752, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-6269 | |
Wendy Kim, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |