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NPI Code Detail

MEDICARE: ANNA SANDBERG

MEDICARE: ANNA SANDBERG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1275461352
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA SANDBERG
Provider Business Mailing Address
First Line : 1609 PARKNOLL LN
Second Line :
City : PORT WASHINGTON
State : WI
Zip : 53074-1127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3241 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-4201
Country : US
Telephone Number : 312-225-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ ANNA SANDBERG ” Practice Location

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