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Andrew Moulton
Student in an Organized Health Care Education/Training Program in North Chicago, Illinois
NPI 1164043626

Andrew Moulton is a Student in an Organized Health Care Education/Training Program based in North Chicago, IL. Andrew Moulton practices in North Chicago, IL. The NPI Number for Andrew Moulton is 1164043626 and holds a License No. (Illinois).

The current practice location address for Andrew Moulton is 3333 Green Bay Rd, North Chicago, IL and can be reached out via phone at 360-930-2912.

Location: 3333 Green Bay Rd, North Chicago, IL, 60064-3037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164043626
Provider Name
Andrew Moulton
Credential
Provider Entity Type
Individual
Gender
Male
Address
3333 Green Bay Rd, North Chicago, IL, 60064-3037
Phone Number
360-930-2912
Fax Number
Provider Enumeration Date
05/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3333 Green Bay Rd
City
North Chicago
State
Illinois
Zip
60064-3037
Phone Number
360-930-2912
Fax Number
person
Provider Business Mailing Address Details
Address
3333 Green Bay Rd
City
North Chicago
State
Illinois
Zip
60064-3037
Phone Number
360-930-2912
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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