Individual
MS. BARBETTE ANTOINETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2751 W WINONA ST, CHICAGO, IL 60625-2508
(773) 494-0184
Mailing address
2751 W WINONA ST, CHICAGO, IL 60625-2508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.356288
IL
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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