Individual
REBEKAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 E 87TH ST, CHICAGO, IL 60619-6040
(773) 798-3062
Mailing address
208 E 87TH ST, CHICAGO, IL 60619-6040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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