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Mr. Jake Washkowiak
Student in an Organized Health Care Education/Training Program in La Salle, Illinois
NPI 1154856284

Jake Washkowiak is a Student in an Organized Health Care Education/Training Program based in La Salle, IL. Jake Washkowiak practices in La Salle, IL. The NPI Number for Jake Washkowiak is 1154856284 and holds a License No. (Illinois).

The current practice location address for Jake Washkowiak is 2152 Laharpe St, La Salle, IL and can be reached out via phone at 815-326-2170.

Location: 2152 Laharpe St, La Salle, IL, 61301-1452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154856284
Provider Name
Jake Washkowiak
Credential
Provider Entity Type
Individual
Gender
Male
Address
2152 Laharpe St, La Salle, IL, 61301-1452
Phone Number
815-326-2170
Fax Number
Provider Enumeration Date
04/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2152 Laharpe St
City
La Salle
State
Illinois
Zip
61301-1452
Phone Number
815-326-2170
Fax Number
person
Provider Business Mailing Address Details
Address
2152 Laharpe St
City
La Salle
State
Illinois
Zip
61301-1452
Phone Number
815-326-2170
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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