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Dr. Richard Anderson, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Peoria, Illinois
NPI 1699703892

Richard Anderson is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Peoria, IL. Richard Anderson practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Richard Anderson is 1699703892 and holds a License No. 036095602 (Illinois).

The current practice location address for Richard Anderson is 1001 Main Street, Peoria, IL and can be reached out via phone at 309-495-0200 and via fax at 309-676-6545.

Location: 1001 Main Street, Peoria, IL, 61606-2037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699703892
Provider Name
Richard Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1001 Main Street, Peoria, IL, 61606-2037
Phone Number
309-495-0200
Fax Number
309-676-6545
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036095602-1 05 IL
7215166 01 IL BLUE CROSS BLUE SHIELD
020046522 01 IL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1001 Main Street
City
Peoria
State
Illinois
Zip
61606-2037
Phone Number
309-495-0200
Fax Number
309-676-6545
person
Provider Business Mailing Address Details
Address
1001 Main Street
City
Peoria
State
Illinois
Zip
61606-2037
Phone Number
309-495-0200
Fax Number
309-676-6545
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
036095602 (Illinois)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
036095602 (Illinois)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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