Chanler Johnson is a Driver based in Waukegan, IL. Chanler Johnson practices in Waukegan, IL. The NPI Number for Chanler Johnson is 1538874243 and holds a License No. (Illinois).
The current practice location address for Chanler Johnson is 236 Lorraine Ave, Waukegan, IL and can be reached out via phone at 224-302-2169.
Location: 236 Lorraine Ave, Waukegan, IL, 60085-3620
Provider Profile Details
NPI Number
1538874243
Provider Name
Chanler Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
236 Lorraine Ave, Waukegan, IL, 60085-3620
Phone Number
224-302-2169
Fax Number
Provider Enumeration Date
01/17/2023
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | 01 | AL | DO NOT HAVE MEDICARE |
Provider Business Practice Location Address Details
Address
236 Lorraine Ave
City
State
Zip
60085-3620
Phone Number
224-302-2169
Fax Number
Provider Business Mailing Address Details
Address
236 Lorraine Ave
City
State
Zip
60085-3620
Phone Number
224-302-2169
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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