Individual
DEMAR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20140 CATALPA AVE, LYNWOOD, IL 60411-6805
(708) 953-0444
Mailing address
20140 CATALPA AVE, LYNWOOD, IL 60411-6805
(708) 953-0444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041245721
IL
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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