Individual provider · Type 1 NPI

Bryce Hamamoto

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

NPI number 1003751389 Active

Practice location

221 NE Glen Oak Ave
Peoria, IL 61636-1000

Call (309) 672-5522 Map

Mailing address

1 Illini Dr
Peoria, IL 61605-2576

Other practice locations

  • 900 Main St Ste 720, Peoria, IL 61602-5027 · (309) 495-1640

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 1003751389

Bryce Hamamoto's National Provider Identifier is 1003751389, issued on Apr 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Apr 22, 2026.