Individual
VADETTE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 E 115TH ST, CHICAGO, IL 60628-5014
(773) 253-8385
Mailing address
259 E 115TH ST, CHICAGO, IL 60628-5014
(773) 253-8385
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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