Mr Jerome Anderson, is a
Massage Therapist based in Dolton, Illinois. Mr Jerome Anderson is licensed to practice in Illinois (license number 227.020129) and his current practice location is
15700 Ingleside Ave, Dolton, Illinois. He can be reached at his office (for appointments etc.) via phone at
(773) 383-8813.
NPI number for Mr Jerome Anderson is 1982414694 and his current mailing address is 15700 Ingleside Ave, Dolton, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982414694.
Healthcare Provider's Profile
| Full Name | Mr Jerome Anderson |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 15700 Ingleside Ave, Dolton, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982414694
- Provider Enumeration Date: 01/14/2025
- Last Update Date: 01/14/2025
Medical Identifiers
Medical identifiers for Mr Jerome Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982414694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 227.020129 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jerome Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Jerome Anderson, 15700 Ingleside Ave, Dolton, IL 60419-2764 Ph: (773) 383-8813 | Mr Jerome Anderson, 15700 Ingleside Ave, Dolton, IL 60419-2764 Ph: (773) 383-8813 |
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