Individual
DR. BRYAN MICHAEL JOHNWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
300 S COUNTY FARM RD, WHEATON, IL 60187-2438
(630) 547-8045
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
2255A2300X
Athletic Trainer
—
IL
Other
Enumeration date
01/22/2007
Last updated
04/20/2008
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