Individual
YVETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14905 EVERS ST, DOLTON, IL 60419-2601
(708) 201-0503
(708) 201-0503
Mailing address
14905 EVERS ST, DOLTON, IL 60419-2601
(708) 201-0503
(708) 201-0503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-270261
IL
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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