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Thibault Bordeau

Student in an Organized Health Care Education/Training Program in Mundelein, IL. Individual provider (NPI-1).

NPI number1629829338
StatusActive
Last updated in NPPESMar 29, 2024

Details

NPI
1629829338
Entity type
Individual (NPI-1)
Name
Thibault Bordeau
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 29, 2024
Certification date
Mar 29, 2024
Last updated
Mar 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1640 Savannah Cir
Mundelein, IL 60060-1637

Phone 847-507-4758

Mailing address

1640 Savannah Cir
Mundelein, IL 60060-1637

Phone 847-507-4758

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Other Student in an Organized Health Care Education/Training Program providers in Mundelein, IL

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