Vadette Anderson
Individual provider Active NPI Case Manager/Care Coordinator · Chicago, IL
NPI 1235907320 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1235907320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 259 E 115TH St
Chicago, IL 60628-5014 - Phone
- (773) 253-8385
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
259 E 115TH St
Chicago, IL 60628-5014
Mailing address
259 E 115TH St
Chicago, IL 60628-5014
Phone (773) 253-8385
Other providers in Chicago, IL
- Symone Anderson
- Taylor Nicole Anderson
- Tevyn P Anderson
- Trisha Anderson
- Tyrone Anderson
- Vivian Ruth Anderson
- Andersonville Behavioral Health, LLC
- Andersonville Counseling Center, LLC
- Andersonville Dental
- Andersonville Physical Therapy, SC
All providers in Chicago, IL · Case Manager/Care Coordinator in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.