Individual provider · Type 1 NPI

Shay Bourgeois

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1003564493 Active

Practice location

5841 S Maryland Ave # 8016
Chicago, IL 60637-1443

Call (773) 702-6435 Map

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1003564493

Shay Bourgeois's National Provider Identifier is 1003564493, issued on Mar 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 3, 2023.