Search › Illinois › 163WP0808X
Johnathan Myers
NPI 1720775109 · on the registry since 2023
Practice
- Address
- 23975 W Lancaster Ct
Deer Park, IL 60010 - Phone
- (815) 762-4703
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-18
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