person
Ethan Jin, DO
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1942051719

Ethan Jin is a Student in an Organized Health Care Education/Training Program based in Cumming, IL. Ethan Jin practices in Maywood, IL and has the professional credentials of DO. The NPI Number for Ethan Jin is 1942051719 and holds a License No. (Illinois).

The current practice location address for Ethan Jin is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-9169.

Location: 2160 S 1St Ave, Maywood, IL, 30040-6167
person
Provider Profile Details
NPI Number
1942051719
Provider Name
Ethan Jin
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 30040-6167
Phone Number
708-216-9169
Fax Number
Provider Enumeration Date
03/29/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
708-216-9169
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
708-216-9169
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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