person
Eric Jon Casinelli, MDMEDICALSTUDENT
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1487355384

Eric Jon Casinelli is a Student in an Organized Health Care Education/Training Program based in Maywood, IL. Eric Jon Casinelli practices in Maywood, IL and has the professional credentials of MDMEDICALSTUDENT. The NPI Number for Eric Jon Casinelli is 1487355384 and holds a License No. (Illinois).

The current practice location address for Eric Jon Casinelli is 2160 S 1St Ave Bldg 220, Maywood, IL and can be reached out via phone at 708-216-3222.

Location: 2160 S 1St Ave Bldg 220, Maywood, IL, 60153-3328
person
Provider Profile Details
NPI Number
1487355384
Provider Name
Eric Jon Casinelli
Credential
MDMEDICALSTUDENT
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave Bldg 220, Maywood, IL, 60153-3328
Phone Number
708-216-3222
Fax Number
Provider Enumeration Date
03/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave Bldg 220
City
State
Zip
60153-3328
Phone Number
708-216-3222
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave Bldg 220
City
State
Zip
60153-3328
Phone Number
708-216-3222
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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