Individual
BERNADETTE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 S INDIANA AVE APT 2N, CHICAGO, IL 60616-4942
(312) 907-3634
Mailing address
3330 S INDIANA AVE APT 2N, CHICAGO, IL 60616-4942
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146002891
IL
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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