Individual provider · Type 1 NPI
Raphael Ijeokwu
Student in an Organized Health Care Education/Training Program · Thornton, IL
NPI number
1902429467
Active
Practice location
541 N Williams St Fl 1
Thornton, IL 60476-1018
Mailing address
2107 E 72nd Pl Apt 1
Chicago, IL 60649-6080
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.
About NPI 1902429467
Raphael Ijeokwu's National Provider Identifier is 1902429467, issued on May 19, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Thornton, IL. The record was last updated on May 19, 2020.