Peyton Pazera
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chicago, IL
NPI 1548090046 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1548090046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 E Superior St Ste 306
Chicago, IL 60611-2595 - Phone
- (312) 754-9404
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1 E Superior St Ste 306
Chicago, IL 60611-2595
Mailing address
661 W Sheridan Rd Apt 601
Chicago, IL 60613-3311
Phone (815) 714-1867
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.