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Chantell Anderson
NPI 1760197925 · on the registry since 2023 · sole proprietor
Practice
- Address
- 631 E 154th Pl
Phoenix, IL 60426 - Phone
- (773) 577-9016
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois