Chanler Johnson
Chanler Johnson is a Driver in Waukegan, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
236 Lorraine AveWaukegan, IL 60085-3620
Phone: (224) 302-2169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1538874243 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2023 |
| Last updated in NPPES | January 17, 2023 |
| Certification date | January 17, 2023 |
| Mailing address | 236 Lorraine Ave, Waukegan, IL 60085-3620 |
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