Individual provider · Type 1 NPI

Bryan David Jonke

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

NPI number 1174148035 Active

Practice location

1431 N. Claremont Avenue, 2nd Floor Pavillion
Chicago, IL 60622-1702

Call (312) 633-5890 Map

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 1174148035

Bryan David Jonke's National Provider Identifier is 1174148035, issued on Jun 16, 2020. 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 Jun 16, 2020.