Individual
KAMESHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 W 63RD ST, CHICAGO, IL 60629-3317
(773) 424-8109
Mailing address
7101 N CICERO AVE STE 202, LINCOLNWOOD, IL 60712-2143
(847) 972-1135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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