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Kent Tadokoro
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1285096602

Kent Tadokoro is a Student in an Organized Health Care Education/Training Program based in Maywood, IL. Kent Tadokoro practices in Maywood, IL. The NPI Number for Kent Tadokoro is 1285096602 and holds a License No. (Illinois).

The current practice location address for Kent Tadokoro is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-1676.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285096602
Provider Name
Kent Tadokoro
Credential
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
708-216-1676
Fax Number
Provider Enumeration Date
03/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-1676
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-1676
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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