Individual
SHIRLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 WALLACE ST, ALTON, IL 62002-7037
(618) 447-7321
Mailing address
1033 WALLACE ST, ALTON, IL 62002-7037
(618) 447-7321
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
IL
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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