Individual
ERICA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17850 BAKER AVE, COUNTRY CLUB HILLS, IL 60478-4729
(708) 922-0538
Mailing address
932 DARTMOUTH AVE, MATTESON, IL 60443-1515
(708) 639-1985
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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