Individual
MURILEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17025 CREGIER AVE, SOUTH HOLLAND, IL 60473-3632
(708) 288-9782
(708) 566-1258
Mailing address
17025 CREGIER AVE, SOUTH HOLLAND, IL 60473-3632
(708) 288-9782
(708) 566-1258
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
820701062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820701062
—
IL
Enumeration date
03/07/2017
Last updated
03/07/2017
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