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Quinn Debose
Student in an Organized Health Care Education/Training Program in Park Forest, Illinois
NPI 1851713291

Quinn Debose is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Quinn Debose practices in Park Forest, IL. The NPI Number for Quinn Debose is 1851713291 and holds a License No. (Illinois).

The current practice location address for Quinn Debose is 124 Elm St, Park Forest, IL and can be reached out via phone at 312-437-0729. You can also correspond with Quinn Debose through the mailing address at 11111 S WESTERN AVE,, CHICAGO, IL - 60643-1744 (mailing address contact number: 773-238-1100).

Location: 124 Elm St, Park Forest, IL, 60643-1744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851713291
Provider Name
Quinn Debose
Credential
Provider Entity Type
Individual
Gender
Female
Address
124 Elm St, Park Forest, IL, 60643-1744
Phone Number
312-437-0729
Fax Number
Provider Enumeration Date
01/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
124 Elm St
City
Park Forest
State
Illinois
Zip
60466-1744
Phone Number
312-437-0729
Fax Number
person
Provider Business Mailing Address Details
Address
124 Elm St
City
Park Forest
State
Illinois
Zip
60466-1744
Phone Number
312-437-0729
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.
(Illinois)
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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