Jack Mitchell Bane
Jack Mitchell Bane is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1500 S Fairfield AveChicago, IL 60608-1782
Phone: (773) 542-2000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1720881360 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 29, 2025 |
| Last updated in NPPES | March 29, 2025 |
| Certification date | March 29, 2025 |
| Mailing address | 1500 S Fairfield Ave, Chicago, IL 60608-1782 |
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