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Breanna Wennberg, MD
Student in an Organized Health Care Education/Training Program in Kankakee, Illinois
NPI 1851080683

Breanna Wennberg is a Student in an Organized Health Care Education/Training Program based in Kankakee, IL. Breanna Wennberg practices in Kankakee, IL and has the professional credentials of MD. The NPI Number for Breanna Wennberg is 1851080683 and holds a License No. (Illinois).

The current practice location address for Breanna Wennberg is 350 N Wall St, Kankakee, IL and can be reached out via phone at 815-933-1671.

Location: 350 N Wall St, Kankakee, IL, 60901-2901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851080683
Provider Name
Breanna Wennberg
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
350 N Wall St, Kankakee, IL, 60901-2901
Phone Number
815-933-1671
Fax Number
Provider Enumeration Date
05/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
350 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2901
Phone Number
815-933-1671
Fax Number
person
Provider Business Mailing Address Details
Address
350 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2901
Phone Number
815-933-1671
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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