Individual
DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5444 S HERMITAGE AVE, CHICAGO, IL 60609-5706
(773) 885-7625
Mailing address
5444 S HERMITAGE AVE, CHICAGO, IL 60609-5706
(773) 885-7625
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/30/2009
Last updated
05/30/2009
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