ALEC SAMUEL SMALL

CHICAGO, IL
NPI1700464526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-01
Last Update Date2024-07-01
Business Address
ALEC SAMUEL SMALL
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
ALEC SAMUEL SMALL
808 S WOOD ST RM 469A
CHICAGO, IL 60612-7300
Phone number:
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