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Raphael Ijeokwu
Student in an Organized Health Care Education/Training Program in Thornton, Illinois
NPI 1902429467

Raphael Ijeokwu is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Raphael Ijeokwu practices in Thornton, IL. The NPI Number for Raphael Ijeokwu is 1902429467 and holds a License No. (Illinois).

The current practice location address for Raphael Ijeokwu is 541 N Williams St Fl 1, Thornton, IL and can be reached out via phone at 312-975-5928.

Location: 541 N Williams St Fl 1, Thornton, IL, 60649-6080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902429467
Provider Name
Raphael Ijeokwu
Credential
Provider Entity Type
Individual
Gender
Male
Address
541 N Williams St Fl 1, Thornton, IL, 60649-6080
Phone Number
312-975-5928
Fax Number
Provider Enumeration Date
05/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85110144 05 IL
institution
Provider Business Practice Location Address Details
Address
541 N Williams St Fl 1
City
Thornton
State
Illinois
Zip
60476-1018
Phone Number
312-975-5928
Fax Number
person
Provider Business Mailing Address Details
Address
541 N Williams St Fl 1
City
Thornton
State
Illinois
Zip
60476-1018
Phone Number
312-975-5928
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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