DEVELOPMENTAL THERAPEUTICS FELLOWSHIP NPI 1811439250

NPI Information

DEVELOPMENTAL THERAPEUTICS FELLOWSHIP 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. DEVELOPMENTAL THERAPEUTICS FELLOWSHIP NPI is 1811439250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

233 E SUPERIOR ST
CHICAGO, IL
ZIP 60611-913
Phone: (312) 472-0573

The provider's authorized official is Anne Mcdowell .
The authorized official title is Coordinator and has the following contact phone number (312) 472-0573.

The enumeration date for this NPI number is 11/16/2016 and was last updated on 11/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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