DR. MICHAEL JON ANDERSON (NPI# 1558593376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558593376 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JON ANDERSON |
| Credential | M.D. |
| Practice Address |
13755 S Cicero Ave Crestwood IL 60445-1824 |
| Mailing Address |
901 Mcclintock Dr Ste 202 Burr Ridge IL 60527-0872 |
| Practice Telephone | 8882206432 |
| Practice Fax Number | 6306544253 |
| Mailing Telephone | 6306556748 |
| Mailing Fax Number | 6307344715 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036134127 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
| 1881234623 | Michael Anderson | Durable Medical Equipment & Medical Supplies | 1203 N Hobart St Ste 34, Pampa, TX 79065-4664 | 2020-01-09 |
| 1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
| 1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
| 1629438437 | Michael Anderson | Counselor | 145 Yonker Street, Barbeton, OH 44203 | 2016-03-07 |
| 1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
| 1679971683 | Michael Anderson | Occupational Therapist | 355 Saddlebrook Cir, Lewisville, NC 27023-8213 | 2014-12-08 |
| 1881004877 | Michael Anderson | Anesthesiology | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016 | 2014-04-30 |
| 1467871517 | Michael Callum Anderson | Counselor | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2014-04-15 |
| 1871911958 | Michael Anderson | Physical Therapist | 9909 Mira Mesa Blvd Ste 260, San Diego, CA 92131-1064 | 2014-04-04 |
| Street Address |
13755 S CICERO AVE |
| City | CRESTWOOD |
| State | IL |
| Zip Code | 60445-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295051860 | Sheila Margaret Barry | Internal Medicine | 13755 S Cicero Ave, Crestwood, IL 60445 | 2010-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911398 | Paula Marie Jensen Hallahan | Psychologist | Hermansen Elementary School, 101 Wesglen Parkway, Romeoville, IL 60445 | 2017-09-15 |
| 1861933756 | Reginald Castillo | Emergency Medical Technician, Paramedic | 4939 East Circle Dr. #206, Crestwood, IL 60445 | 2017-03-13 |
| 1801259684 | Bruce Frank Leo | Hearing Instrument Specialist | 5553 W. 127th St, Crestwood, IL 60445 | 2016-03-30 |
| 1801291687 | Annie Eyer | Behavioral Analyst | 4942 138th Place, Crestwood, IL 60445 | 2014-10-23 |
| 1679997266 | Phoenix Behavioral Services, Inc | Case Management | 4649 147th Street, Midlothian, IL 60445 | 2014-02-18 |
| 1841537149 | Lacy Carol Little | Speech-Language Pathologist | 14715 Leclaire Ave., Midlothian, IL 60445 | 2013-01-08 |
| 1164709291 | Kathleen Chaudhari | Pharmacist | 4800 W 148th Street, Midlothian, IL 60445 | 2011-11-03 |
| 1063715498 | Amanda Rea Bird | Behavioral Analyst | 5415 129th Pl, Apt 4, Crestwood, IL 60445 | 2010-12-07 |
| 1831376615 | Plaza Nursing & Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 3249 W 147th St, Midlothiian, IL 60445 | 2008-01-24 |
| 1154475630 | Kevin Martin Bargamian | Dentist | 13549 South Cicero Avenue, Crestwood, IL 60445 | 2007-01-22 |
| Find all providers in zip 60445 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266933 | Joseph H Kent | Internal Medicine | 13755 S. Cicero Ave, Crestwood, IL 60445 | 2005-09-22 |
| 1215372404 | Malak Elsheikh | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60418 | 2013-05-02 |
| 1558681577 | J. Bradford Hampshire Bertumen | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60418-1824 | 2010-06-02 |
| 1295051860 | Sheila Margaret Barry | Internal Medicine | 13755 S Cicero Ave, Crestwood, IL 60445 | 2010-04-08 |
| 1336373406 | Addie Spier | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60445-1824 | 2009-05-05 |
| 1386891679 | Joyce Rii | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60445-1824 | 2008-08-19 |
| 1881728509 | Dorota Z. Krezolek | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60445-1824 | 2007-03-15 |
| 1124169685 | Kamo G Sidhwa | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60445-1824 | 2007-02-09 |
| 1942296041 | Daniel J Hirsch | Internal Medicine | 13755 S. Cicero Ave, Crestwood, IL 60445 | 2005-09-23 |
| 1821084120 | Robert M Fliegelman | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60445-1824 | 2005-09-22 |
| Find all providers in CRESTWOOD | ||||
Please comment or provide details below to improve the information on DR. MICHAEL JON ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.