Individual
MRS. KELLY BIANCA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9923 S CLYDE AVE, CHICAGO, IL 60617-5241
(312) 687-8497
Mailing address
9923 S CLYDE AVE, CHICAGO, IL 60617-5241
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us