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Keenan Fine

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

NPI number1831869445
StatusActive
Last updated in NPPESSep 15, 2021

Details

NPI
1831869445
Entity type
Individual (NPI-1)
Name
Keenan Fine
Sex
Male
Sole proprietor
No
Enumeration date
Sep 15, 2021
Certification date
Sep 15, 2021
Last updated
Sep 15, 2021

Taxonomy and licenses

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

Practice location

240 E Huron St Ste 1-200
Chicago, IL 60611-2909

Phone 312-503-7975

Mailing address

240 E Huron St Ste 1-200
Chicago, IL 60611-2909

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