Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Garrett Mamikunian

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114785466

Garrett Mamikunian is a Student in an Organized Health Care Education/Training Program in North Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone: (907) 301-3326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114785466
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

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