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Andrew Benjamin Eytalis
Student in an Organized Health Care Education/Training Program in Freeport, Illinois
NPI 1609581453

Andrew Benjamin Eytalis is a Student in an Organized Health Care Education/Training Program based in Freeport, IL. Andrew Benjamin Eytalis practices in Freeport, IL. The NPI Number for Andrew Benjamin Eytalis is 1609581453 and holds a License No. (Illinois).

The current practice location address for Andrew Benjamin Eytalis is 421 W Exchange St, Freeport, IL and can be reached out via phone at 815-599-7200.

Location: 421 W Exchange St, Freeport, IL, 61032-0813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609581453
Provider Name
Andrew Benjamin Eytalis
Credential
Provider Entity Type
Individual
Gender
Male
Address
421 W Exchange St, Freeport, IL, 61032-0813
Phone Number
815-599-7200
Fax Number
Provider Enumeration Date
01/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
421 W Exchange St
City
Freeport
State
Illinois
Zip
61032-4008
Phone Number
815-599-7200
Fax Number
person
Provider Business Mailing Address Details
Address
421 W Exchange St
City
Freeport
State
Illinois
Zip
61032-4008
Phone Number
815-599-7200
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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