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ANDERSON, NILS       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 3001A SIXTH STREET, BLDG. 200H
GREAT LAKES IL 60088

Address last updated on 7/22/2003
Phone #: (847) 688-3444
Fax #:
County: NOT OKLAHOMA
License: 23651
Dated: 12/1/2003
Expires: 12/1/2005
License Type: Medical Doctor
Specialty: Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Rush Med Coll of Rush Univ Med Ctr, Chicago, IL
Graduated: 6 / 1987
CME Year: 2006
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3001A SIXTH STREET, BLDG. 200H
GREAT LAKES IL 60088

Phone #: (847) 688-3444
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 9:00AM - 5:00PM

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