Individual
AUSTIN VINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2511 W CORTLAND ST APT 1, CHICAGO, IL 60647-7018
(913) 205-1555
Mailing address
2511 W CORTLAND ST APT 1, CHICAGO, IL 60647-7018
(913) 205-1555
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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