Bart Thaci M.D.

NPI 1205195211 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1205195211
Gender Male
Enumeration Date 05/10/2012
Last Updated 05/10/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5831 S MARYLAND AVE
ROOM J301
CHICAGO IL, 60637-1463, US
Phone (773) 834-0972
Fax
Business Location
5831 S MARYLAND AVE
ROOM J301
CHICAGO IL, 60637-1463, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Bart Thaci M.D. NPI is 1205195211, taxonomy code is 390200000X Bart Thaci M.D. physically located at 5831 S Maryland Ave, Chicago IL, 60637-1463. NPI Number Bart Thaci M.D. has the Individual type.

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1205195211 NPI number is provided on an as is basis without warranty of any kind. 1205195211 is maintained by the National Plan & Provider Enumeration System. The contents of Bart Thaci M.D. are for informational purposes only.