Joel R Anderson, DPM | |
4920 N Central Ave, Suite 1a, Chicago, IL 60630-2338 | |
(847) 358-7005 | |
(847) 358-7065 |
Full Name | Joel R Anderson |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 28 Years |
Location | 4920 N Central Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952341505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016004882 (Illinois) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.004882 (Illinois) | Primary |
Provider Name | Humboldt Park Health |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704 |
Provider Name | Joel R. Anderson, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396967550 PECOS PAC ID: 5991715302 Enrollment ID: O20060501000242 |
Mailing Address | Practice Location Address |
---|---|
Joel R Anderson, DPM 4920 N Central Ave, Suite 1a, Chicago, IL 60630-2338 Ph: (847) 358-7005 | Joel R Anderson, DPM 4920 N Central Ave, Suite 1a, Chicago, IL 60630-2338 Ph: (847) 358-7005 |
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