Jeremy Johnson

NPI #1861116246 in Northfield, Illinois

Provider Information

NPI Number: 1861116246
Entity Type: Individual
Name: Jeremy Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 29, 2022
Last Updated: Sep 29, 2022

Practice Location

Address: 405 CENTRAL AVE
City: Northfield
State: Illinois
ZIP Code: 60093-3006
Phone: (847) 441-5600

Specialties & Taxonomy Codes

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

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