IndividualActive
Quincy Sowell
NPI 1316680101 · Student in an Organized Health Care Education/Training Program · Broadview, IL
Provider details
- NPI number
- 1316680101
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
2344 S 12th Ave
Broadview, IL 60155-4038
Phone: (708) 657-7619
Approximate (ZIP-level) locationGet directions
Mailing address
2344 S 12th Ave
Broadview, IL 60155-4038
Registry dates
- Enumerated
- 2022-04-19
- Last updated
- 2022-04-19
- Certified
- 2022-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.