Individual provider · Type 1 NPI

Karla Johan Avila-Polanco

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

NPI number 1902500796 Active

Practice location

3665 N Broadway St
Chicago, IL 60613-4567

Call (773) 496-4433 Map

Mailing address

4417 N Central Park Ave Apt 2F
Chicago, IL 60625-5968

Specialties and licenses

TaxonomyCodeLicense
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 1902500796

Karla Johan Avila-Polanco's National Provider Identifier is 1902500796, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Mar 28, 2023.