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Summer Ellefson
Student in an Organized Health Care Education/Training Program in Westchester, Illinois
NPI 1174142111

Summer Ellefson is a Student in an Organized Health Care Education/Training Program based in Westchester, IL. Summer Ellefson practices in Westchester, IL. The NPI Number for Summer Ellefson is 1174142111 and holds a License No. (Illinois).

The current practice location address for Summer Ellefson is 11022 Martindale Dr, Westchester, IL and can be reached out via phone at 218-255-0404.

Location: 11022 Martindale Dr, Westchester, IL, 60154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174142111
Provider Name
Summer Ellefson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11022 Martindale Dr, Westchester, IL, 60154
Phone Number
218-255-0404
Fax Number
Provider Enumeration Date
04/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11022 Martindale Dr
City
Westchester
State
Illinois
Zip
60154-4918
Phone Number
218-255-0404
Fax Number
person
Provider Business Mailing Address Details
Address
11022 Martindale Dr
City
Westchester
State
Illinois
Zip
60154-4918
Phone Number
218-255-0404
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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