Chanler Johnson

NPI #1538874243 in Waukegan, Illinois

Provider Information

NPI Number: 1538874243
Entity Type: Individual
Name: Chanler Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jan 17, 2023
Last Updated: Jan 17, 2023

Practice Location

Address: 236 LORRAINE AVE
City: Waukegan
State: Illinois
ZIP Code: 60085-3620
Phone: (224) 302-2169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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