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Diamond Burnett
Student in an Organized Health Care Education/Training Program in Dekalb, Illinois
NPI 1669258570

Diamond Burnett is a Student in an Organized Health Care Education/Training Program based in Dekalb, IL. Diamond Burnett practices in Dekalb, IL. The NPI Number for Diamond Burnett is 1669258570 and holds a License No. (Illinois).

The current practice location address for Diamond Burnett is 1325 Sycamore Rd, Dekalb, IL and can be reached out via phone at 815-501-1287.

Location: 1325 Sycamore Rd, Dekalb, IL, 60115-2483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669258570
Provider Name
Diamond Burnett
Credential
Provider Entity Type
Individual
Gender
Female
Address
1325 Sycamore Rd, Dekalb, IL, 60115-2483
Phone Number
815-501-1287
Fax Number
Provider Enumeration Date
09/06/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
160154555 01 IL COUNTY CARE
institution
Provider Business Practice Location Address Details
Address
1325 Sycamore Rd
City
Dekalb
State
Illinois
Zip
60115-2483
Phone Number
815-501-1287
Fax Number
person
Provider Business Mailing Address Details
Address
1325 Sycamore Rd
City
Dekalb
State
Illinois
Zip
60115-2483
Phone Number
815-501-1287
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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