Individual
MR. JOHN LANDERS HONCHARUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1820 W MAIN ST, SAINT CHARLES, IL 60174-1634
(630) 928-3400
(630) 762-1230
Mailing address
2671 ASBURY DR, AURORA, IL 60504-3213
(847) 343-2579
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-000921
IL
Other
Enumeration date
09/29/2005
Last updated
03/03/2010
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