Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLAS S ANDERSON, DPM
ActiveDR. NICOLAS S ANDERSON, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in RIVERSIDE, Illinois. NPI 1124179817 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · RIVERSIDE, IL
Registration Details
- NPI Number
- 1124179817
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.533103898041 yrs)
- Last Updated
- Jun 6, 2012
- License
-
016-005287 (IL)
Practice Information
- Address
-
353 E BURLINGTON STSUITE 100RIVERSIDE, IL, 605462189Browse IL providers · Browse ZIP 60546
- Phone
- 7084420221
- Fax
- 7084425670
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.