ALAN GREGORY SOETIKNO

CHICAGO, IL
NPI1740892561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-08-21
Last Update Date2020-08-21
Business Address
ALAN GREGORY SOETIKNO
240 E HURON ST STE 1-200
CHICAGO, IL 60611-2909
Phone number: 312-503-7975
Mailing Address
ALAN GREGORY SOETIKNO
240 E HURON ST STE 1-200
CHICAGO, IL 60611-2909
Phone number: 312-503-7975
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