Clark Olavi Andelin
Obstetrician & Gynecologist
927 Broadway St
Quincy
, Illinois 62301-2719
Clark Olavi Andelin
Obstetrician & Gynecologist
927 Broadway St
Quincy
, Illinois 62301-2719
(217) 223-8400
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Clark Olavi Andelin
- 1005 Broadway St
- Quincy, IL
- Zip : 62301-2834
- Phone : (217) 223-8400
Second Address
- Clark Olavi Andelin
- 927 Broadway St
- Quincy, IL
- Zip : 62301-2719
- Fax : (217) 223-9172
- Phone : (217) 223-8400
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FAQs
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Is Clark Olavi Andelin a sole practitioner?
Is Clark Olavi Andelin accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 036148618 | IL |
| N | 207V00000X | Obstetrician & Gynecologist | 2007019019 | MO |
National Provider Identifier
| NPI | 1013114453 |
|---|---|
| Provider Name | Clark Olavi Andelin |
| First Address | Quincy, IL 62301-2834 |
| Second Address | Quincy, IL 62301-2719 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2007 |
| Last Update Date | 11/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.