Nicholas Musgrave
Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).
NPI number1366072985
StatusActive
Last updated in NPPESJan 23, 2020
Details
- NPI
- 1366072985
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Musgrave
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2020
- Certification date
- Jan 23, 2020
- Last updated
- Jan 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
676 N Saint Clair St Ste 2210Chicago, IL 60611-2922
Phone 312-695-6200
Mailing address
676 N Saint Clair St Ste 2210Chicago, IL 60611-2922
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