Edgar Anderson is a Dermatology Physician practicing in Maywood, Illinois. The National Provider Identifier (NPI) is #1679550735, which was assigned on December 29, 2005, and the registration record was last updated on February 1, 2026. The practitioner's main practice location is at 1160 S 1st Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153-2312; the contact telephone number is 7082169000, and the fax number is 7082169033. The primary taxonomy of Edgar Anderson is Dermatology Physician (207N00000X). Edgar Anderson is licensed to practice in the state of Illinois (#36102114).
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
| NPI | 1679550735 |
| Entity Type | Individual |
| Provider Name | EDGAR ANDERSON |
| Gender | Male |
| Credential | MD |
| Practice Address |
1160 S 1st Ave Loyola University Medical Center 101-1740 Maywood IL 60153-2312 |
| Practice Telephone | 7082169000 |
| Practice Fax Number | 7082169033 |
| Mailing Address |
2160 S 1st Ave Loyola University Medical Center 101-1740 Maywood IL 60153-3328 |
| Mailing Telephone | 7082169000 |
| Mailing Fax Number | 7082169033 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2026-02-01 |
| Is Sole Proprietor | X |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 36102114 | IL |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 36102114 | IL | MEDICAID |
| Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| Classification | Dermatology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
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| Keelie Marie Now | 13162 W Persimmon Ln, Boise, ID 83713-1986 | Dermatology Physician | 2026-03-17 |
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| California Dermatology Institute PC | 3220 Sepulveda Blvd Ste 102, Torrance, CA 90505-8160 | Dermatology Physician | 2026-04-08 |
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| North Atlantic Dermatology PLLC | 3516 Francis Lewis Blvd, Flushing, NY 11358-1954 | Dermatology Physician | 2026-03-18 |
| R.A. Dermatology, P.C. | 550 Park Ave, New York, NY 10065-7369 | Dermatology Physician | 2026-03-24 |
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| Street Address |
1160 S 1ST AVE LOYOLA UNIVERSITY MEDICAL CENTER 101-1740 |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-2312 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Franco Laghi | 2160 S First Ave, (Luh - North Ent., Rm. 7604), Maywood, IL 60153 | Critical Care Medicine (Internal Medicine) Physician | 2005-12-30 |
| Zahra Ismail | 2160 S 1st Ave, Maywood, IL 60153 | Internal Medicine Physician | 2018-03-28 |
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| Lynnette Doan-Wiggins | 2160 S First Ave, 101-1740, Loyola University Medical Center, Maywood, IL 60153 | Emergency Medicine Physician | 2006-01-19 |
| Amber Marie Baskin · Amber Marie Garrett | 2160 S. First Ave, Dept. of Medicine/Primary Care, Maywood, IL 60153 | Nurse Practitioner | 2022-05-17 |
| Way Back Inn | 104 Oak St, Maywood, IL 60153-1676 | Substance Abuse Rehabilitation Facility | 2015-05-06 |
| Myles Sheehan | 2160 S First Ave, 101 1740, Maywood, IL 60153 | Internal Medicine Physician | 2006-02-17 |
| Rasheed Hammadeh | 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 | Anatomic Pathology Physician | 2006-01-26 |
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| Haidar Kabbani | 2160 S 1st Ave, Maywood, IL 60153 | Child & Adolescent Psychiatry Physician | 2005-11-29 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |