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Payam Matin
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1467746719

Payam Matin is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Payam Matin practices in Peoria, IL. The NPI Number for Payam Matin is 1467746719 and holds a License No. (Illinois).

The current practice location address for Payam Matin is 320 E Armstrong Ave, Peoria, IL and can be reached out via phone at 857-654-6464.

Location: 320 E Armstrong Ave, Peoria, IL, 61606-1070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467746719
Provider Name
Payam Matin
Credential
Provider Entity Type
Individual
Gender
Male
Address
320 E Armstrong Ave, Peoria, IL, 61606-1070
Phone Number
857-654-6464
Fax Number
Provider Enumeration Date
06/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 E Armstrong Ave
City
Peoria
State
Illinois
Zip
61603-3172
Phone Number
857-654-6464
Fax Number
person
Provider Business Mailing Address Details
Address
320 E Armstrong Ave
City
Peoria
State
Illinois
Zip
61603-3172
Phone Number
857-654-6464
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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