Individual provider · Type 1 NPI

Jacqueline Mitzner, B.A.

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

NPI number 1326933532 Active

Practice location

1925 N Clybourn Ave Ste 300
Chicago, IL 60614-7395

Call (773) 697-8839 Map

Mailing address

1565 W Birchwood Ave Apt 2
Chicago, IL 60626-1748

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 1326933532

Jacqueline Mitzner, B.A.'s National Provider Identifier is 1326933532, issued on Jun 9, 2025. 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 9, 2025.