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Elizabeth Penick
Student in an Organized Health Care Education/Training Program in Springfield, Illinois
NPI 1407623994

Elizabeth Penick is a Student in an Organized Health Care Education/Training Program based in Springfield, IL. Elizabeth Penick practices in Springfield, IL. The NPI Number for Elizabeth Penick is 1407623994 and holds a License No. (Illinois).

The current practice location address for Elizabeth Penick is 5955 Old Jacksonville Rd, Springfield, IL and can be reached out via phone at 217-836-8509.

Location: 5955 Old Jacksonville Rd, Springfield, IL, 62711-6153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407623994
Provider Name
Elizabeth Penick
Credential
Provider Entity Type
Individual
Gender
Female
Address
5955 Old Jacksonville Rd, Springfield, IL, 62711-6153
Phone Number
217-836-8509
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5955 Old Jacksonville Rd
City
Springfield
State
Illinois
Zip
62711-6153
Phone Number
217-836-8509
Fax Number
person
Provider Business Mailing Address Details
Address
5955 Old Jacksonville Rd
City
Springfield
State
Illinois
Zip
62711-6153
Phone Number
217-836-8509
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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