| Kala D Anders | |
|
5844 Elaine Dr Ste 3 Rockford IL 61108-2494 | |
| (331) 442-7815 | |
| Not Available |
| Full Name | Kala D Anders |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5844 Elaine Dr Ste 3, Rockford, Illinois |
| Authorized Official Name and Position | Kala D Anders (OWNER) |
| Authorized Official Contact | 3314427815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kala D Anders 123 Beiriger Dr Dyer IN 46311-2178 Ph: (331) 442-7815 | Kala D Anders 5844 Elaine Dr Ste 3 Rockford IL 61108-2494 Ph: (331) 442-7815 |
| NPI Number | 1215669387 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215669387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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