Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN MYERS
ActiveJOHNATHAN MYERS is a Child & Adolescent Psychiatric Nurse healthcare provider located in DEER PARK, Illinois. NPI 1720775109 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · DEER PARK, IL
Registration Details
- NPI Number
- 1720775109
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2023 (3.3685488743563 yrs)
- Last Updated
- Apr 18, 2023
- License
-
041461508 (IL)
Practice Information
- Address
-
23975 W LANCASTER CTDEER PARK, IL, 600109703Browse IL providers · Browse ZIP 60010
- Phone
- 8157624703
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.