Search › Illinois › 104100000X
Jonathan Handrup
NPI 1295306322 · on the registry since 2021
Practice
- Address
- 225 E Deerpath
Lake Forest, IL 60045 - Phone
- (847) 796-6400
- Organisation at this address
- Athletico Ltd
Kozak Orthodontics Pc
Mili Counseling, Pllc
Wellview Partners, Llc
Dermatologists Of Illinois, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois