Individual provider · Type 1 NPI

Alex Christopher Debolt

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

NPI number 1760985295 Active

Practice location

30 N Brainard St
Naperville, IL 60540-4607

Call (630) 637-5100 Map

Mailing address

1331 Post Rd
Aurora, IL 60506-1321

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1760985295

Alex Christopher Debolt's National Provider Identifier is 1760985295, issued on Mar 11, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Naperville, IL. The record was last updated on Mar 11, 2018.