Individual provider · Type 1 NPI
Mitchum Smith
Student in an Organized Health Care Education/Training Program · Waukegan, IL
NPI number
1861972317
Active
Practice location
2025 Washington Street
Waukegan, IL 60085
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.
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About NPI 1861972317
Mitchum Smith's National Provider Identifier is 1861972317, issued on Aug 15, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waukegan, IL. The record was last updated on Aug 15, 2018.