Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Bacos, STUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265987440

Jonathan Bacos, STUDENT is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Chicago, IL

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence B22043894236 (IL)

Record details

NPI number1265987440
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorYes
NPI enumeratedAugust 17, 2016
Last updated in NPPESMarch 25, 2020
Certification dateMarch 25, 2020

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