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Mitchum Smith
Student in an Organized Health Care Education/Training Program in Waukegan, Illinois
NPI 1861972317

Mitchum Smith is a Student in an Organized Health Care Education/Training Program based in Waukegan, IL. Mitchum Smith practices in Waukegan, IL. The NPI Number for Mitchum Smith is 1861972317 and holds a License No. (Illinois).

The current practice location address for Mitchum Smith is 2025 Washington Street, Waukegan, IL and can be reached out via phone at 847-360-1020.

Location: 2025 Washington Street, Waukegan, IL, 60085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861972317
Provider Name
Mitchum Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
2025 Washington Street, Waukegan, IL, 60085
Phone Number
847-360-1020
Fax Number
Provider Enumeration Date
08/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2025 Washington Street
City
Waukegan
State
Illinois
Zip
60085
Phone Number
847-360-1020
Fax Number
person
Provider Business Mailing Address Details
Address
2025 Washington Street
City
Waukegan
State
Illinois
Zip
60085
Phone Number
847-360-1020
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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