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Chandler William Dorris
Student in an Organized Health Care Education/Training Program in Collinsville, Illinois
NPI 1912681701

Chandler William Dorris is a Student in an Organized Health Care Education/Training Program based in Collinsville, IL. Chandler William Dorris practices in Collinsville, IL. The NPI Number for Chandler William Dorris is 1912681701 and holds a License No. (Illinois).

The current practice location address for Chandler William Dorris is 87 Johann Dr, Collinsville, IL and can be reached out via phone at 573-979-9152.

Location: 87 Johann Dr, Collinsville, IL, 62234-4677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912681701
Provider Name
Chandler William Dorris
Credential
Provider Entity Type
Individual
Gender
Male
Address
87 Johann Dr, Collinsville, IL, 62234-4677
Phone Number
573-979-9152
Fax Number
Provider Enumeration Date
06/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
87 Johann Dr
City
Collinsville
State
Illinois
Zip
62234-4677
Phone Number
573-979-9152
Fax Number
person
Provider Business Mailing Address Details
Address
87 Johann Dr
City
Collinsville
State
Illinois
Zip
62234-4677
Phone Number
573-979-9152
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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