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Mr. Shota Sato
Student in an Organized Health Care Education/Training Program in Naperville, Illinois
NPI 1588144471

Shota Sato is a Student in an Organized Health Care Education/Training Program based in Naperville, IL. Shota Sato practices in Naperville, IL. The NPI Number for Shota Sato is 1588144471 and holds a License No. (Illinois).

The current practice location address for Shota Sato is 30 N Brainard St, Naperville, IL and can be reached out via phone at 630-637-5100. You can also correspond with Shota Sato through the mailing address at 230 N ELLSWORTH ST APT 2, NAPERVILLE, IL - 60540-4623 (mailing address contact number: 331-871-3165).

Location: 30 N Brainard St, Naperville, IL, 60540-4623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588144471
Provider Name
Shota Sato
Credential
Provider Entity Type
Individual
Gender
Male
Address
30 N Brainard St, Naperville, IL, 60540-4623
Phone Number
630-637-5100
Fax Number
Provider Enumeration Date
08/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TR3426579 01 PASSPORT NUMBER
institution
Provider Business Practice Location Address Details
Address
30 N Brainard St
City
Naperville
State
Illinois
Zip
60540-4607
Phone Number
630-637-5100
Fax Number
person
Provider Business Mailing Address Details
Address
30 N Brainard St
City
Naperville
State
Illinois
Zip
60540-4607
Phone Number
630-637-5100
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.
(Illinois)
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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