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Student in an Organized Health Care Education/Training Program in Petersburg, Illinois
NPI 1285992909

Student is a Student in an Organized Health Care Education/Training Program based in Petersburg, IL. Student practices in Petersburg, IL. The NPI Number for Student is 1285992909 and holds a License No. (Illinois).

The current practice location address for Student is 16554 N Meadow Ln, Petersburg, IL and can be reached out via phone at 217-891-7941.

Location: 16554 N Meadow Ln, Petersburg, IL, 62675-6786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285992909
Provider Name
Student
Credential
Provider Entity Type
Organization
Address
16554 N Meadow Ln, Petersburg, IL, 62675-6786
Phone Number
217-891-7941
Fax Number
Provider Enumeration Date
05/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16554 N Meadow Ln
City
Petersburg
State
Illinois
Zip
62675-6786
Phone Number
217-891-7941
Fax Number
person
Provider Business Mailing Address Details
Address
16554 N Meadow Ln
City
Petersburg
State
Illinois
Zip
62675-6786
Phone Number
217-891-7941
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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