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RUSSELL EDAFETANURE-IBEH
NPI 1568291268
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since July 31, 2024
1853 W POLK ST, CHICAGO, IL 60612(312) 996-5636 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Russell Edafetanure-ibeh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL EDAFETANURE-IBEH (NPI 1568291268) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1568291268
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRUSSELL EDAFETANURE-IBEH
Location Address1853 W POLK STChicago, IL 60612-4355
Mailing Address1853 W Polk StChicago, IL 60612-4355
Phone(312) 996-5636
Sole ProprietorYes
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1568291268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1853 W POLK ST, Chicago, IL 60612
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUNYUN PARK
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
TIM PAN
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
EBONY LISSA MOCANU
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
LOGAN VAN POUCKE
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (630) 201-0378
QUINN ERICA HARRIS
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
ISABELLA ZORRA
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
AKEEM GILES
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
JUDE AMIR YASIR AL ABOSY
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Edafetanure-ibeh's NPI number?

The NPI number for Russell Edafetanure-ibeh is 1568291268. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Russell Edafetanure-ibeh located?

Russell Edafetanure-ibeh practices at 1853 W Polk St, Chicago, IL 60612. The listed phone number is (312) 996-5636.

What is Russell Edafetanure-ibeh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Russell Edafetanure-ibeh was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.