Nicholas Escondo
Student in an Organized Health Care Education/Training Program in Grayslake, IL. Individual provider (NPI-1).
NPI number1982139374
StatusActive
Last updated in NPPESApr 24, 2017
Details
- NPI
- 1982139374
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Escondo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2017
- Last updated
- Apr 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 246Z00000X | Specialist/Technologist, Other | – | – |
Practice location
1407 Churchill LnGrayslake, IL 60030-3754
Phone 847-946-4598
Mailing address
1407 Churchill LnGrayslake, IL 60030-3754
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All 19 Student in an Organized Health Care Education/Training Program providers in Grayslake · All 762 providers in Grayslake
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