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Ianka Pena Geraldino
Student in an Organized Health Care Education/Training Program in Libertyville, Illinois
NPI 1902567811

Ianka Pena Geraldino is a Student in an Organized Health Care Education/Training Program based in Libertyville, IL. Ianka Pena Geraldino practices in Libertyville, IL. The NPI Number for Ianka Pena Geraldino is 1902567811 and holds a License No. (Illinois).

The current practice location address for Ianka Pena Geraldino is 1113 S Milwaukee Ave, Libertyville, IL and can be reached out via phone at 847-748-0341 and via fax at 847-367-5997.

Location: 1113 S Milwaukee Ave, Libertyville, IL, 60048-3758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902567811
Provider Name
Ianka Pena Geraldino
Credential
Provider Entity Type
Individual
Gender
Female
Address
1113 S Milwaukee Ave, Libertyville, IL, 60048-3758
Phone Number
847-748-0341
Fax Number
847-367-5997
Provider Enumeration Date
01/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1113 S Milwaukee Ave
City
Libertyville
State
Illinois
Zip
60048-3758
Phone Number
847-748-0341
Fax Number
847-367-5997
person
Provider Business Mailing Address Details
Address
1113 S Milwaukee Ave
City
Libertyville
State
Illinois
Zip
60048-3758
Phone Number
847-748-0341
Fax Number
847-367-5997
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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