Individual
ALYSSA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3225 W FOSTER AVE, BOX 25, CHICAGO, IL 60625-4823
(773) 244-6221
Mailing address
3225 W FOSTER AVE, BOX 25, CHICAGO, IL 60625-4823
(773) 244-6221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003867
IL
2255A2300X
Athletic Trainer
AT. 003883
OH
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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