person
Mr. Theran Jacob Selph JR., BS
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1902575822

Theran Jacob Selph JR. is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Theran Jacob Selph JR. practices in Chicago, IL and has the professional credentials of BS. The NPI Number for Theran Jacob Selph JR. is 1902575822 and holds a License No. (Illinois).

The current practice location address for Theran Jacob Selph JR. is 240 E Huron St Ste 1-200, Chicago, IL and can be reached out via phone at 312-503-7975.

Location: 240 E Huron St Ste 1-200, Chicago, IL, 60611-2909
person
Provider Profile Details
NPI Number
1902575822
Provider Name
Theran Jacob Selph JR.
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
240 E Huron St Ste 1-200, Chicago, IL, 60611-2909
Phone Number
312-503-7975
Fax Number
Provider Enumeration Date
09/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
240 E Huron St Ste 1-200
City
State
Zip
60611-2909
Phone Number
312-503-7975
Fax Number
person
Provider Business Mailing Address Details
Address
240 E Huron St Ste 1-200
City
State
Zip
60611-2909
Phone Number
312-503-7975
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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