Individual
DEANDRE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W OAK ST, CARBONDALE, IL 62901-1400
(618) 536-6621
Mailing address
300 W OAK ST, CARBONDALE, IL 62901-1400
(618) 536-6621
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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