person
Herliani Dwi Putri Halim, MD
Student in an Organized Health Care Education/Training Program in Evanston, Illinois
NPI 1790470888

Herliani Dwi Putri Halim is a Student in an Organized Health Care Education/Training Program based in Evanston, IL. Herliani Dwi Putri Halim practices in Evanston, IL and has the professional credentials of MD. The NPI Number for Herliani Dwi Putri Halim is 1790470888 and holds a License No. (Illinois).

The current practice location address for Herliani Dwi Putri Halim is 1233 Chicago Ave Apt 11, Evanston, IL and can be reached out via phone at 510-542-7368.

Location: 1233 Chicago Ave Apt 11, Evanston, IL, 60202-1364
person
Provider Profile Details
NPI Number
1790470888
Provider Name
Herliani Dwi Putri Halim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1233 Chicago Ave Apt 11, Evanston, IL, 60202-1364
Phone Number
510-542-7368
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1233 Chicago Ave Apt 11
City
State
Zip
60202-1364
Phone Number
510-542-7368
Fax Number
person
Provider Business Mailing Address Details
Address
1233 Chicago Ave Apt 11
City
State
Zip
60202-1364
Phone Number
510-542-7368
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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