Individual provider · Type 1 NPI

William Goreth

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

NPI number 1063950277 Active

Practice location

1311 W Lincoln Hwy, Apt Q
Dekalb, IL 60115-2970

Call (847) 702-4171 Map

Mailing address

48W930 Il Route 64
Maple Park, IL 60151-8581

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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.

Other student in an organized health care education/training program providers in Dekalb

See all in Dekalb →

About NPI 1063950277

William Goreth's National Provider Identifier is 1063950277, issued on Feb 8, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dekalb, IL. The record was last updated on Feb 8, 2017.