Individual provider · Type 1 NPI

Elijah McCarrell-Bradley

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

NPI number 1396412094 Active

Practice location

2 American Way
Elgin, IL 60120-4341

Mailing address

5947 N Winthrop Ave Apt 3B
Chicago, IL 60660-5239

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 1396412094

Elijah McCarrell-Bradley's National Provider Identifier is 1396412094, issued on Aug 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elgin, IL. The record was last updated on Aug 30, 2021.