person
Chace Thomas Gabrielson Wall
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1275228280

Chace Thomas Gabrielson Wall is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Chace Thomas Gabrielson Wall practices in Chicago, IL. The NPI Number for Chace Thomas Gabrielson Wall is 1275228280 and holds a License No. (Illinois).

The current practice location address for Chace Thomas Gabrielson Wall is 122 S Michigan Ave Ste 1314, Chicago, IL and can be reached out via phone at 312-922-7474.

Location: 122 S Michigan Ave Ste 1314, Chicago, IL, 60623-3483
person
Provider Profile Details
NPI Number
1275228280
Provider Name
Chace Thomas Gabrielson Wall
Credential
Provider Entity Type
Individual
Gender
Male
Address
122 S Michigan Ave Ste 1314, Chicago, IL, 60623-3483
Phone Number
312-922-7474
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
122 S Michigan Ave Ste 1314
City
State
Zip
60603-6191
Phone Number
312-922-7474
Fax Number
person
Provider Business Mailing Address Details
Address
122 S Michigan Ave Ste 1314
City
State
Zip
60603-6191
Phone Number
312-922-7474
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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