NPI 1295499325
Alec Johnson, AUD
Practice location
- Address
- 2160 S 1st Ave Bldg 150, Maywood, IL 60153-3328
- Phone
- (708) 216-3821
- Mailing address
- 2160 S 1st Ave Rm 4415, Maywood, IL 60153-3328
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1295499325
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Oct 2021
- Record last updated
- 21 May 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.