NPI 1003526575

Edward Johnson

Practitioner Student in an Organized Health Care Education/Training Program Rosemont, IL

Practice location

Address: 5600 N River Rd STE 800, Rosemont, IL 60018-5166
Phone: (888) 877-4268
Mailing address: 3444 Almond Grove Dr, Florence, SC 29501-8197

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003526575
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2022
Record last updated: 25 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.