Individual
JOSEPH FONTAINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 S MICHIGAN AVE STE 309, CHICAGO, IL 60616-0049
(773) 234-8779
Mailing address
2600 S MICHIGAN AVE STE 309, CHICAGO, IL 60616-0049
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
178.020246
IL
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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