CHRISTIAN GLEN JOHNSON ECK DO NPI 1366183865

NPI Information

Christian Glen Johnson Eck, DO is a student in an organized health care education training program in Peoria, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Christian Glen Johnson Eck, DO NPI is 1366183865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637-001
Phone: (309) 655-2109

The enumeration date for this NPI number is 4/6/2022 and was last updated on 4/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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