Individual
TEAH MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
117 N PARKWAY DR, PEKIN, IL 61554-3932
(309) 347-0500
(309) 347-0501
Mailing address
117 N PARKWAY DR, PEKIN, IL 61554-3932
(309) 347-0500
(309) 347-0501
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001492
IL
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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