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Shuqi Kang
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1215511266

Shuqi Kang is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Shuqi Kang practices in Peoria, IL. The NPI Number for Shuqi Kang is 1215511266 and holds a License No. (Illinois).

The current practice location address for Shuqi Kang is 624 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2383.

Location: 624 Ne Glen Oak Ave, Peoria, IL, 61606-1964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215511266
Provider Name
Shuqi Kang
Credential
Provider Entity Type
Individual
Gender
Female
Address
624 Ne Glen Oak Ave, Peoria, IL, 61606-1964
Phone Number
309-655-2383
Fax Number
Provider Enumeration Date
05/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
624 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61603
Phone Number
309-655-2383
Fax Number
person
Provider Business Mailing Address Details
Address
624 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61603
Phone Number
309-655-2383
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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