person
Raka Chindavong
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1164272019

Raka Chindavong is a Student in an Organized Health Care Education/Training Program based in St Pete Beach, IL. Raka Chindavong practices in Chicago, IL. The NPI Number for Raka Chindavong is 1164272019 and holds a License No. (Illinois).

The current practice location address for Raka Chindavong is 836 W Wellington Ave, Chicago, IL and can be reached out via phone at 773-296-5187.

Location: 836 W Wellington Ave, Chicago, IL, 33706-2738
person
Provider Profile Details
NPI Number
1164272019
Provider Name
Raka Chindavong
Credential
Provider Entity Type
Individual
Gender
Male
Address
836 W Wellington Ave, Chicago, IL, 33706-2738
Phone Number
773-296-5187
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
836 W Wellington Ave
City
State
Zip
60657-5147
Phone Number
773-296-5187
Fax Number
person
Provider Business Mailing Address Details
Address
836 W Wellington Ave
City
State
Zip
60657-5147
Phone Number
773-296-5187
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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