Individual
DR. ALEC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
2160 S 1ST AVE BLDG 150, MAYWOOD, IL 60153-3328
(708) 216-3821
Mailing address
2160 S 1ST AVE RM 4415, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001828
IL
Other
Enumeration date
10/25/2021
Last updated
05/21/2022
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