Individual
ANDREA IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2643 N SPAULDING AVE, UNIT 1W, CHICAGO, IL 60647-1424
(712) 540-5917
Mailing address
2643 N SPAULDING AVE, UNIT 1W, CHICAGO, IL 60647-1424
(712) 540-5917
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/21/2015
Last updated
03/21/2015
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