person
Travis Tenbrock, MD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1144070335

Travis Tenbrock is a Student in an Organized Health Care Education/Training Program based in Grand Rapids, IL. Travis Tenbrock practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Travis Tenbrock is 1144070335 and holds a License No. (Illinois).

The current practice location address for Travis Tenbrock is 2900 N Lake Shore Dr, Chicago, IL and can be reached out via phone at 616-881-9167.

Location: 2900 N Lake Shore Dr, Chicago, IL, 49505-3718
person
Provider Profile Details
NPI Number
1144070335
Provider Name
Travis Tenbrock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2900 N Lake Shore Dr, Chicago, IL, 49505-3718
Phone Number
616-881-9167
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2900 N Lake Shore Dr
City
State
Zip
60657-5640
Phone Number
616-881-9167
Fax Number
person
Provider Business Mailing Address Details
Address
2900 N Lake Shore Dr
City
State
Zip
60657-5640
Phone Number
616-881-9167
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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