MR. Brian Soetikno is a student in an organized health care education training program in Chicago, IL. The provider is 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. MR. Brian Soetikno NPI is 1316338080. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
345 E OHIO ST APT 1906
CHICAGO, IL
ZIP 60611-053
Phone: (510) 579-2071
The enumeration date for this NPI number is 2/16/2015 and was last updated on 2/16/2015.