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Individual

DEMETRIUS ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2334 S MICHIGAN AVE, CHICAGO, IL 60616-2105
(312) 225-5550
(312) 225-0999
Mailing address
PO BOX 3429, OAK PARK, IL 60303-3429
(312) 225-5550
(312) 225-0999

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012086
IL

Other

Enumeration date
11/28/2011
Last updated
11/28/2011
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