Search › Illinois › 2255A2300X

Johnathan Meyer, MA, ATC

NPI 1598174070 · on the registry since 2014 · sole proprietor

Practice

Address
275 E 3rd Ave
Clifton, IL 60927
Phone
(815) 210-6509

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-08

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