person
Mia Alyse Mologousis
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1700589884

Mia Alyse Mologousis is a Student in an Organized Health Care Education/Training Program based in Burr Ridge, IL. Mia Alyse Mologousis practices in Chicago, IL. The NPI Number for Mia Alyse Mologousis is 1700589884 and holds a License No. (Illinois).

The current practice location address for Mia Alyse Mologousis is 7435 W Talcott Avenue, Chicago, IL and can be reached out via phone at 773-990-5261.

Location: 7435 W Talcott Avenue, Chicago, IL, 60527
person
Provider Profile Details
NPI Number
1700589884
Provider Name
Mia Alyse Mologousis
Credential
Provider Entity Type
Individual
Gender
Female
Address
7435 W Talcott Avenue, Chicago, IL, 60527
Phone Number
773-990-5261
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
7435 W Talcott Avenue
City
State
Zip
60631
Phone Number
773-990-5261
Fax Number
person
Provider Business Mailing Address Details
Address
7435 W Talcott Avenue
City
State
Zip
60631
Phone Number
773-990-5261
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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