JOHNSON VACHACHIRA

WOODRIDGE, IL
NPI1225384092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209009538)
Enumeration Date2012-07-31
Last Update Date2020-04-13
Business Address
Mr. JOHNSON VACHACHIRA FNP
8645 WOODWARD AVE
WOODRIDGE, IL 60517-3148
Phone number: 866-389-2727
Mailing Address
Mr. JOHNSON VACHACHIRA FNP
11200 LINCOLN HWY
MOKENA, IL 60448-8208
Phone number: 866-389-2727
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