Randy Johnson

NPI #1518650365 in Flossmoor, Illinois

Provider Information

NPI Number: 1518650365
Entity Type: Individual
Name: Randy Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 29, 2023
Last Updated: May 29, 2023

Practice Location

Address: 1406 WILLIAMS ST
City: Flossmoor
State: Illinois
ZIP Code: 60422-1795
Phone: (708) 275-9476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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