MS. Tracey Johnson
NPI #1700246873 in Calumet Park, Illinois
Provider Information
- NPI Number
- 1700246873
- Entity Type
- Individual
- Name
- MS. Tracey Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Mar 2, 2016
- Last Updated
- Mar 2, 2016
Practice Location
- Address
- 12410 S ABERDEEN ST
- City
- Calumet Park
- State
- Illinois
- ZIP Code
- 60827-5806
- Phone
- (773) 809-2245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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