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Johnnie Jasper

NPI 1144824574 · on the registry since 2020 · sole proprietor

Practice

Address
Central Public Health Center (Cphc)
111 N. County Farm Road
Wheaton, IL 60187
Phone
(630) 627-1700

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois