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Randy Johnson
Student in an Organized Health Care Education/Training Program in Flossmoor, Illinois
NPI 1518650365

Randy Johnson is a Student in an Organized Health Care Education/Training Program based in Flossmoor, IL. Randy Johnson practices in Flossmoor, IL. The NPI Number for Randy Johnson is 1518650365 and holds a License No. (Illinois).

The current practice location address for Randy Johnson is 1406 Williams St, Flossmoor, IL and can be reached out via phone at 708-275-9476.

Location: 1406 Williams St, Flossmoor, IL, 60422-1795
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518650365
Provider Name
Randy Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1406 Williams St, Flossmoor, IL, 60422-1795
Phone Number
708-275-9476
Fax Number
Provider Enumeration Date
05/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1406 Williams St
City
Flossmoor
State
Illinois
Zip
60422-1795
Phone Number
708-275-9476
Fax Number
person
Provider Business Mailing Address Details
Address
1406 Williams St
City
Flossmoor
State
Illinois
Zip
60422-1795
Phone Number
708-275-9476
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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