person
Simona Khomutov
Student in an Organized Health Care Education/Training Program in Northbrook, Illinois
NPI 1942061973

Simona Khomutov is a Student in an Organized Health Care Education/Training Program based in Northbrook, IL. Simona Khomutov practices in Northbrook, IL. The NPI Number for Simona Khomutov is 1942061973 and holds a License No. (Illinois).

The current practice location address for Simona Khomutov is 2246 Valencia Dr, Northbrook, IL and can be reached out via phone at 847-970-8041. You can also correspond with Simona Khomutov through the mailing address at 2246 VALENCIA DR, NORTHBROOK, IL - 60062-7044 (mailing address contact number: ).

Location: 2246 Valencia Dr, Northbrook, IL, 60062-7044
person
Provider Profile Details
NPI Number
1942061973
Provider Name
Simona Khomutov
Credential
Provider Entity Type
Individual
Gender
Female
Address
2246 Valencia Dr, Northbrook, IL, 60062-7044
Phone Number
847-970-8041
Fax Number
Provider Enumeration Date
01/17/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2246 Valencia Dr
City
State
Zip
60062-7044
Phone Number
847-970-8041
Fax Number
person
Provider Business Mailing Address Details
Address
2246 Valencia Dr
City
State
Zip
60062-7044
Phone Number
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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