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Micah Zeb Ellowitz
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1992267728

Micah Zeb Ellowitz is a Student in an Organized Health Care Education/Training Program based in El Paso, IL. Micah Zeb Ellowitz practices in Maywood, IL. The NPI Number for Micah Zeb Ellowitz is 1992267728 and holds a License No. (Illinois).

The current practice location address for Micah Zeb Ellowitz is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-5522.

Location: 2160 S 1St Ave, Maywood, IL, 79922-1205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992267728
Provider Name
Micah Zeb Ellowitz
Credential
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 79922-1205
Phone Number
708-216-5522
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-5522
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-5522
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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