Individual provider · Type 1 NPI

Rachel Samuel

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

NPI number 1891322236 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-4940 Map

Mailing address

104 Cheyenne St
Martin, TN 38237-2604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X125.075936 (IL)

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 1891322236

Rachel Samuel's National Provider Identifier is 1891322236, issued on Mar 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Feb 24, 2022.