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Individual

JOHNATHON RECKNAGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
504 E PETTIGREW ST APT 559, DURHAM, NC 27701-3896
(734) 478-6731

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036175917
IL
207V00000X
Obstetrics & Gynecology Physician
2022-01254
NC

Other

Enumeration date
05/07/2018
Last updated
07/24/2025
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