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Contact Information

JESSE L ANDERSON, DPT
711 W MAXWELL ST
CHICAGO, IL60607-5016
 Phone: 312-355-2626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JESSE L ANDERSON · (Male)

NPI Number 1255205662
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 09/30/2025
Last updated 09/30/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 070024928
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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