ANSEL T JOHNSON

BLUE ISLAND, IL
NPI1023106309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046007826)
Enumeration Date2006-10-11
Last Update Date2020-09-21
Business Address
Dr. ANSEL T JOHNSON OD
12812 WESTERN AVE
BLUE ISLAND, IL 60406-2118
Phone number: 708-385-0013
Mailing Address
Dr. ANSEL T JOHNSON OD
12812 WESTERN AVE
BLUE ISLAND, IL 60406-2118
Phone number: 708-385-0013
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