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Stacy Suh
Student in an Organized Health Care Education/Training Program in Wheaton, Illinois
NPI 1922708023

Stacy Suh is a Student in an Organized Health Care Education/Training Program based in Wheaton, IL. Stacy Suh practices in Wheaton, IL. The NPI Number for Stacy Suh is 1922708023 and holds a License No. (Illinois).

The current practice location address for Stacy Suh is 712 Irving Ave, Wheaton, IL and can be reached out via phone at 201-705-3078.

Location: 712 Irving Ave, Wheaton, IL, 60187-4257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922708023
Provider Name
Stacy Suh
Credential
Provider Entity Type
Individual
Gender
Female
Address
712 Irving Ave, Wheaton, IL, 60187-4257
Phone Number
201-705-3078
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OSC05699186-03 01 OSCAR
institution
Provider Business Practice Location Address Details
Address
712 Irving Ave
City
Wheaton
State
Illinois
Zip
60187-4257
Phone Number
201-705-3078
Fax Number
person
Provider Business Mailing Address Details
Address
712 Irving Ave
City
Wheaton
State
Illinois
Zip
60187-4257
Phone Number
201-705-3078
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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