Individual
MR. SIDNEY JOSEPH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCCPT
Contact information
Practice address
1908 W BERTEAU AVE APT 1, CHICAGO, IL 60613-6777
(312) 481-3342
Mailing address
1908 W BERTEAU AVE APT 1, CHICAGO, IL 60613-6777
(312) 481-3342
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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