Donovan Edward

NPI #1609662774 in Hines, Illinois

Provider Information

NPI Number: 1609662774
Entity Type: Individual
Name: Donovan Edward
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 16, 2025
Last Updated: Apr 16, 2025

Practice Location

Address: 5000 S 5TH AVE
City: Hines
State: Illinois
ZIP Code: 60141-3030
Phone: (708) 202-8387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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