| Edgar Anderson, MD | |
| 1160 S 1st Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153-2312 | |
| (708) 216-9000 | |
| (708) 216-9033 | 
| Full Name | Edgar Anderson | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology | 
| Location | 1160 S 1st Ave, Maywood, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679550735 | NPI | - | NPPES | 
| 36102114 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 36102114 (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edgar Anderson, MD 2160 S 1st Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Edgar Anderson, MD 1160 S 1st Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153-2312 Ph: (708) 216-9000 | 
| Zisansha Zahirsha,  Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4533 Fax: 708-216-5446 | |
| Mathew Joseph,  Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
| Lauren Moy, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
| James Swan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, (321 Lagrange Rd., Lagrande Park, Il.60526), Maywood, IL 60153 Phone: 708-485-1020 Fax: 708-485-1173 | |
| Rachit Gupta, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
| Dr. Jenna Janiga Lullo, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
| Dr. Farinoosh Dadrass, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4962 |