Individual
CHRISTOPHER F JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 GREENBRIAR DR APT 214, NORMAL, IL 61761-6221
(309) 310-4881
Mailing address
403 GREENBRIAR DR APT 214, NORMAL, IL 61761-6221
(309) 310-4881
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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