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Michael Mckinnie, DDS
Student in an Organized Health Care Education/Training Program in Bourbonnais, Illinois
NPI 1033975974

Michael Mckinnie is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Michael Mckinnie practices in Bourbonnais, IL and has the professional credentials of DDS. The NPI Number for Michael Mckinnie is 1033975974 and holds a License No. (Illinois).

The current practice location address for Michael Mckinnie is 2034 N State Route 50, Bourbonnais, IL and can be reached out via phone at 815-292-0222.

Location: 2034 N State Route 50, Bourbonnais, IL, 60620-1322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033975974
Provider Name
Michael Mckinnie
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2034 N State Route 50, Bourbonnais, IL, 60620-1322
Phone Number
815-292-0222
Fax Number
Provider Enumeration Date
02/27/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2034 N State Route 50
City
Bourbonnais
State
Illinois
Zip
60914-4410
Phone Number
815-292-0222
Fax Number
person
Provider Business Mailing Address Details
Address
2034 N State Route 50
City
Bourbonnais
State
Illinois
Zip
60914-4410
Phone Number
815-292-0222
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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