Individual provider · Type 1 NPI

Benjamin Smith-Donald

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

NPI number 1174823736 Active

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Call (708) 684-3296 Map

Fax (708) 684-3142

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125056466 (IL)

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 1174823736

Benjamin Smith-Donald's National Provider Identifier is 1174823736, issued on Oct 29, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oak Lawn, IL. The record was last updated on Oct 29, 2010.