person
Ms. Marie Ellen Buckanavage
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1316466360

Marie Ellen Buckanavage is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Marie Ellen Buckanavage practices in Chicago, IL. The NPI Number for Marie Ellen Buckanavage is 1316466360 and holds a License No. (Illinois).

The current practice location address for Marie Ellen Buckanavage is 1431 N Claremont Ave Fl 2, Chicago, IL and can be reached out via phone at 312-633-5890.

Location: 1431 N Claremont Ave Fl 2, Chicago, IL, 60613-2419
person
Provider Profile Details
NPI Number
1316466360
Provider Name
Marie Ellen Buckanavage
Credential
Provider Entity Type
Individual
Gender
Female
Address
1431 N Claremont Ave Fl 2, Chicago, IL, 60613-2419
Phone Number
312-633-5890
Fax Number
Provider Enumeration Date
09/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1431 N Claremont Ave Fl 2
City
State
Zip
60622-1702
Phone Number
312-633-5890
Fax Number
person
Provider Business Mailing Address Details
Address
1431 N Claremont Ave Fl 2
City
State
Zip
60622-1702
Phone Number
312-633-5890
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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