Individual provider · Type 1 NPI

Ana Khazaradze

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

NPI number 1689404121 Active

Practice location

355 Ridge Ave
Evanston, IL 60202-3328

Call (847) 316-4000 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 1689404121

Ana Khazaradze's National Provider Identifier is 1689404121, issued on Aug 7, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Evanston, IL. The record was last updated on Aug 7, 2024.