IndividualActive
Deandre Love
NPI 1346031994 · Community Health Worker · Carbondale, IL
Provider details
- NPI number
- 1346031994
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
300 W Oak St
Carbondale, IL 62901-1400
Phone: (618) 536-6621
Approximate (ZIP-level) locationGet directions
Mailing address
300 W Oak St
Carbondale, IL 62901-1400
Registry dates
- Enumerated
- 2025-05-14
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.