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

Mr. Johnny Ifopo

Individual provider Other Specialist/Technologist · NPI 1083409973

Mr. Johnny Ifopo is an Other Specialist/Technologist in Great Lakes, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2410 Sampson St
Great Lakes, IL 60088-2942
Phone: (520) 490-5187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1083409973
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address2410 Sampson St, Great Lakes, IL 60088-2942

Other providers in Great Lakes