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Quincy Sowell
Student in an Organized Health Care Education/Training Program in Broadview, Illinois
NPI 1316680101

Quincy Sowell is a Student in an Organized Health Care Education/Training Program based in Broadview, IL. Quincy Sowell practices in Broadview, IL. The NPI Number for Quincy Sowell is 1316680101 and holds a License No. (Illinois).

The current practice location address for Quincy Sowell is 2344 S 12Th Ave, Broadview, IL and can be reached out via phone at 708-657-7619.

Location: 2344 S 12Th Ave, Broadview, IL, 60155-4038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316680101
Provider Name
Quincy Sowell
Credential
Provider Entity Type
Individual
Gender
Male
Address
2344 S 12Th Ave, Broadview, IL, 60155-4038
Phone Number
708-657-7619
Fax Number
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2344 S 12Th Ave
City
Broadview
State
Illinois
Zip
60155-4038
Phone Number
708-657-7619
Fax Number
person
Provider Business Mailing Address Details
Address
2344 S 12Th Ave
City
Broadview
State
Illinois
Zip
60155-4038
Phone Number
708-657-7619
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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