MR. Jerome Anderson

NPI #1982414694 in Dolton, Illinois

Provider Information

NPI Number: 1982414694
Entity Type: Individual
Name: MR. Jerome Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jan 14, 2025
Last Updated: Jan 14, 2025

Practice Location

Address: 15700 INGLESIDE AVE
City: Dolton
State: Illinois
ZIP Code: 60419-2764
Phone: (773) 383-8813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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