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ETHAN JERRICK ANDERSON
NPI 1982454716
Internal Medicine in Park Ridge, IL

Active since March 25, 2024
1775 BALLARD RD, PARK RIDGE, IL 60068(847) 318-9340(847) 318-2966 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Jerrick Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN JERRICK ANDERSON (NPI 1982454716) is an individual internal medicine provider in Park Ridge, Illinois, licensed in Illinois (1982454716) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1982454716
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameETHAN JERRICK ANDERSON
Location Address1775 BALLARD RDPark Ridge, IL 60068-1005
Mailing Address1360 E 58th St Apt GChicago, IL 60637-5213 · (507) 995-8800
Phone(847) 318-9340
Fax(847) 318-2966
Sole ProprietorNo
Enumeration DateMarch 25, 2024
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1982454716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 1982454716
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1775 BALLARD RD, Park Ridge, IL 60068
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE ALYSSA WALES MD
Family Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-6020
ASHLEY ROSE ROBINSON DO
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KEVIN LIN DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KRUTIL PATEL
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
AYESHA LIAQUAT MD
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
WILLIAM D. RHOADES D.O.
Internal Medicine (Geriatric Medicine)
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-2500
MARYANN KELLY M.D.
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
DR. JOSIAH ESCHBACH DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Anderson's NPI number?

The NPI number for Ethan Anderson is 1982454716. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Ethan Anderson located?

Ethan Anderson practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-9340.

What is Ethan Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Ethan Anderson was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.