person
Karla Johan Avila-polanco
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1902500796

Karla Johan Avila-polanco is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Karla Johan Avila-polanco practices in Chicago, IL. The NPI Number for Karla Johan Avila-polanco is 1902500796 and holds a License No. (Illinois).

The current practice location address for Karla Johan Avila-polanco is 3665 N Broadway St, Chicago, IL and can be reached out via phone at 773-496-4433.

Location: 3665 N Broadway St, Chicago, IL, 60625-5968
person
Provider Profile Details
NPI Number
1902500796
Provider Name
Karla Johan Avila-polanco
Credential
Provider Entity Type
Individual
Gender
Female
Address
3665 N Broadway St, Chicago, IL, 60625-5968
Phone Number
773-496-4433
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3665 N Broadway St
City
State
Zip
60613-4567
Phone Number
773-496-4433
Fax Number
person
Provider Business Mailing Address Details
Address
3665 N Broadway St
City
State
Zip
60613-4567
Phone Number
773-496-4433
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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