Individual
JOHNNY CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 W 95TH ST STE 1332H, OAK LAWN, IL 60453-2600
(708) 684-2016
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-007061
IL
Other
Enumeration date
12/07/2018
Last updated
06/06/2022
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