Individual provider · Type 1 NPI
Quinn Debose
Student in an Organized Health Care Education/Training Program · Park Forest, IL
NPI number
1851713291
Active
Practice location
124 Elm St
Park Forest, IL 60466-1744
Mailing address
11111 S Western Ave,
Chicago, IL 60643-1744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
Other student in an organized health care education/training program providers in Park Forest
About NPI 1851713291
Quinn Debose's National Provider Identifier is 1851713291, issued on Jan 18, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Park Forest, IL. The record was last updated on May 20, 2015.