person
Diwante Jamal Shuford, MD
Student in an Organized Health Care Education/Training Program in Oak Lawn, Illinois
NPI 1265172753

Diwante Jamal Shuford is a Student in an Organized Health Care Education/Training Program based in Oak Lawn, IL. Diwante Jamal Shuford practices in Oak Lawn, IL and has the professional credentials of MD. The NPI Number for Diwante Jamal Shuford is 1265172753 and holds a License No. (Illinois).

The current practice location address for Diwante Jamal Shuford is 4440 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-684-5375.

Location: 4440 W 95Th St, Oak Lawn, IL, 60453-2600
person
Provider Profile Details
NPI Number
1265172753
Provider Name
Diwante Jamal Shuford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4440 W 95Th St, Oak Lawn, IL, 60453-2600
Phone Number
708-684-5375
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4440 W 95Th St
City
State
Zip
60453-2600
Phone Number
708-684-5375
Fax Number
person
Provider Business Mailing Address Details
Address
4440 W 95Th St
City
State
Zip
60453-2600
Phone Number
708-684-5375
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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