SearchIllinois225700000X

Randel Johnson

NPI 1841680584 · on the registry since 2015 · sole proprietor

Practice

Address
2615 Three Oaks Rd
Suite 2b
Cary, IL 60013
Phone
(815) 260-4559
Fax
(847) 639-4192
Organisation at this address
Brett Barber Dds Pc
Cary Grove Dental Llc
Cornerstone Counseling
Cary Physical Therapy Pc
Yeschek And Associates Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
173C00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-03

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