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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.

Location: 2246 Valencia Dr, Northbrook, IL, 60062-7044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Northbrook
State
Illinois
Zip
60062-7044
Phone Number
847-970-8041
Fax Number
person
Provider Business Mailing Address Details
Address
2246 Valencia Dr
City
Northbrook
State
Illinois
Zip
60062-7044
Phone Number
847-970-8041
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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