person
Russell Whitehead
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1952169310

Russell Whitehead is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Russell Whitehead practices in Chicago, IL. The NPI Number for Russell Whitehead is 1952169310 and holds a License No. (Illinois).

The current practice location address for Russell Whitehead is 1653 W Congress Pkwy # 12, Chicago, IL and can be reached out via phone at 312-942-7100.

Location: 1653 W Congress Pkwy # 12, Chicago, IL, 60612-3833
person
Provider Profile Details
NPI Number
1952169310
Provider Name
Russell Whitehead
Credential
Provider Entity Type
Individual
Gender
Male
Address
1653 W Congress Pkwy # 12, Chicago, IL, 60612-3833
Phone Number
312-942-7100
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1653 W Congress Pkwy # 12
City
State
Zip
60612-3833
Phone Number
312-942-7100
Fax Number
person
Provider Business Mailing Address Details
Address
1653 W Congress Pkwy # 12
City
State
Zip
60612-3833
Phone Number
312-942-7100
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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