Randy Johnson
Randy Johnson is a Student in an Organized Health Care Education/Training Program in Flossmoor, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1406 Williams StFlossmoor, IL 60422-1795
Phone: (708) 275-9476
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1518650365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2023 |
| Last updated in NPPES | May 29, 2023 |
| Certification date | May 29, 2023 |
| Mailing address | 1406 Williams St, Flossmoor, IL 60422-1795 |
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