John C. Anderson

Periodontics · Gurnee, IL

Individual Active NPI

NPI number 1558515726

Practice location

135 N Greenleaf St
Suite 202
Gurnee, IL 60031-3393
Phone
(847) 336-3200
Fax
(847) 336-1720

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NPI record

NPI
1558515726
Entity type
Individual (Type 1)
Enumeration date
November 13, 2008
Last updated
November 13, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 21-5871 IL

About John Anderson

John C. Anderson is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 135 N Greenleaf St, Suite 202, Gurnee, IL 60031-3393. The NPI number 1558515726 was assigned on November 13, 2008 and the record was last updated on November 13, 2008.

John Anderson lists a license in the registry: #21-5871 (IL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John C. Anderson?

The NPI number is 1558515726.

What is the phone number of John Anderson?

The phone number listed for the practice location is (847) 336-3200.

Where is John Anderson located?

135 N Greenleaf St, Suite 202, Gurnee, IL 60031-3393.

What is the taxonomy code for John Anderson?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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