Individual
JACLYN STILLMAKER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2374 SHERMER ROAD, NORTHBROOK, IL 60062
(847) 498-4190
Mailing address
2374 SHERMER ROAD, NORTHBROOK, IL 60062
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011255
IL
Other
Enumeration date
01/15/2016
Last updated
02/05/2025
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