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1982175691
JOHNNY CONTRERAS
OAK LAWN, IL
NPI
1982175691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-007061)
Enumeration Date
2018-12-07
Last Update Date
2022-06-06
Business Address
JOHNNY CONTRERAS
4440 W 95TH ST STE 1332H
OAK LAWN, IL 60453-2600
Phone number: 708-684-2016
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Mailing Address
JOHNNY CONTRERAS
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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