NPI 1063950277

William Goreth

Practitioner Student in an Organized Health Care Education/Training Program Dekalb, IL

Practice location

Address: 1311 W Lincoln Hwy APT Q, Dekalb, IL 60115-2970
Phone: (847) 702-4171
Mailing address: 48w930 Il Route 64, Maple Park, IL 60151-8581

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Illinois →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1063950277
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2017
Record last updated: 8 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.