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Sharon Moncy Chacko
Student in an Organized Health Care Education/Training Program in Lockport, Illinois
NPI 1659091965

Sharon Moncy Chacko is a Student in an Organized Health Care Education/Training Program based in Lockport, IL. Sharon Moncy Chacko practices in Lockport, IL. The NPI Number for Sharon Moncy Chacko is 1659091965 and holds a License No. (Illinois).

The current practice location address for Sharon Moncy Chacko is 16342 W Lanfear Dr, Lockport, IL and can be reached out via phone at 815-905-1036.

Location: 16342 W Lanfear Dr, Lockport, IL, 60441-4747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659091965
Provider Name
Sharon Moncy Chacko
Credential
Provider Entity Type
Individual
Gender
Female
Address
16342 W Lanfear Dr, Lockport, IL, 60441-4747
Phone Number
815-905-1036
Fax Number
Provider Enumeration Date
08/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16342 W Lanfear Dr
City
Lockport
State
Illinois
Zip
60441-4747
Phone Number
815-905-1036
Fax Number
person
Provider Business Mailing Address Details
Address
16342 W Lanfear Dr
City
Lockport
State
Illinois
Zip
60441-4747
Phone Number
815-905-1036
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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