Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Derrius J. Anderson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003436163

Dr. Derrius J. Anderson, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave # MC1052
Chicago, IL 60637-1443
Phone: (773) 702-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1443 — (773) 702-6760

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.076207 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1003436163
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2020
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020

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