Austin Breunig

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578011052

Austin Breunig is a Student in an Organized Health Care Education/Training Program in Sandwich, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in: IL
In the registry since: 2016

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Practice location Address checks out

217 W Pleasant Ave
Sandwich, IL 60548-1054
Phone: (815) 505-3143

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary)	Taxonomy 390200000X · Licence B652-0109-5285 (IL)

Record details

NPI number	1578011052
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	September 14, 2016
Last updated in NPPES	September 14, 2016
Mailing address	217 W Pleasant Ave, Sandwich, IL 60548-1054