Individual provider · Type 1 NPI

Nicolas S. Anderson, DPM

Foot & Ankle Surgery Podiatrist · Riverside, IL

NPI number 1124179817 Active

Practice location

353 E Burlington St, Suite 100
Riverside, IL 60546-2189

Call (708) 442-0221 Map

Fax (708) 442-5670

Mailing address

353 E Burlington Street, Suite 100
Riverside, IL 60546

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016-005287 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

8 other providers at this address

About NPI 1124179817

Nicolas S. Anderson, DPM's National Provider Identifier is 1124179817, issued on Jan 16, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Riverside, IL. The record was last updated on Jun 6, 2012.