Individual provider · Type 1 NPI

Garrett Mamikunian

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

NPI number 1114785466 Active

Practice location

3333 Green Bay Rd
North Chicago, IL 60064-3037

Mailing address

2936 W Fletcher St
Chicago, IL 60618-7020

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 1114785466

Garrett Mamikunian's National Provider Identifier is 1114785466, issued on Mar 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Chicago, IL. The record was last updated on Mar 11, 2024.