SearchIllinoisStudent in an Organized Health Care Education/Training Program

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NPI 1629746128 · on the registry since 2021 · sole proprietor

Practice

Address
9329 Fairway Dr
Orland Park, IL 60462
Phone
(708) 927-5741

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Sex
Male
Record last updated
2021-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois