MR. Johnny Ifopo
NPI #1083409973 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1083409973
- Entity Type
- Individual
- Name
- MR. Johnny Ifopo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Apr 11, 2025
- Last Updated
- Apr 11, 2025
Practice Location
- Address
- 2410 SAMPSON ST
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-2942
- Phone
- (520) 490-5187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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