MESUD DEDIC NPI 1861173817

NPI Information

NPI: 1861173817
Provider Name: MESUD DEDIC
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226
Phone: (618) 233-7750
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Mesud Dedic is a student in an organized health care education training program in Belleville, 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. Mesud Dedic NPI is 1861173817. 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:

4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226-360
Phone: (618) 233-7750

The enumeration date for this NPI number is 7/31/2023 and was last updated on 7/31/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	2017023122	MISSOURI	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	041506786	ILLINOIS	No
3	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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