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Johnathan Myers
Psychiatric/Mental Health Registered Nurse in Deer Park, Illinois
NPI 1720775109

Johnathan Myers is a Psychiatric/Mental Health Registered Nurse based in Deer Park, IL and is specialized in Psychiatric/Mental Health. Johnathan Myers practices in Deer Park, IL. The NPI Number for Johnathan Myers is 1720775109 and holds a License No. 041461508 (Illinois).

The current practice location address for Johnathan Myers is 23975 W Lancaster Ct, Deer Park, IL and can be reached out via phone at 815-762-4703.

Location: 23975 W Lancaster Ct, Deer Park, IL, 60010-9703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720775109
Provider Name
Johnathan Myers
Credential
Provider Entity Type
Individual
Gender
Male
Address
23975 W Lancaster Ct, Deer Park, IL, 60010-9703
Phone Number
815-762-4703
Fax Number
Provider Enumeration Date
04/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23975 W Lancaster Ct
City
Deer Park
State
Illinois
Zip
60010-9703
Phone Number
815-762-4703
Fax Number
person
Provider Business Mailing Address Details
Address
23975 W Lancaster Ct
City
Deer Park
State
Illinois
Zip
60010-9703
Phone Number
815-762-4703
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
041461508 (Illinois)
Definition
Definition to come...
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