Quan Ta

NPI 1902296692 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1902296692
Gender Male
Enumeration Date 02/02/2015
Last Updated 02/02/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
251 E HURON ST
CHICAGO IL, 60611-2908, US
Phone (312) 926-2000
Fax
Business Location
862 N MARSHFIELD AVE
APT RB
CHICAGO IL, 60622-5137, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Quan Ta NPI is 1902296692, taxonomy code is 390200000X Quan Ta physically located at 251 E Huron St, Chicago IL, 60611-2908. NPI Number Quan Ta has the Individual type.

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1902296692 NPI number is provided on an as is basis without warranty of any kind. 1902296692 is maintained by the National Plan & Provider Enumeration System. The contents of Quan Ta are for informational purposes only.