Christian Provenza is a student in an organized health care education training program in North Chicago, IL with 3 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Christian Provenza NPI is 1659906741. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3333 GREEN BAY RD
NORTH CHICAGO, IL
ZIP 60064-037
Phone: (847) 578-3288
The NPI 1659906741 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/9/2020 and was last updated on 3/9/2020.