Individual
JOHNATHAN SALVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 N MAIN ST, ALGONQUIN, IL 60102-3482
(224) 333-0928
(224) 209-8685
Mailing address
1106 N MAIN ST, ALGONQUIN, IL 60102-3482
(224) 333-0928
(224) 209-8685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-008870
IL
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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