Antoinette Johnson, HIGH SCHOOL DIPLOMA

NPI #1629729272 in Crete, Illinois

Provider Information

NPI Number
1629729272
Entity Type
Individual
Name
Antoinette Johnson, HIGH SCHOOL DIPLOMA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician
Credential
HIGH SCHOOL DIPLOMA
Enumeration Date
Jan 14, 2022
Last Updated
Jan 14, 2022

Practice Location

Address
3494 FAIRWAY DR
City
Crete
ZIP Code
60417-1000
Phone
(773) 557-5931

Specialties & Taxonomy Codes

Specialty
Technician

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