Individual
DOMINIQUE LATRICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
901 E 95TH ST, CHICAGO, IL 60619-7861
(312) 878-9240
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-171797
IL
207Q00000X
Family Medicine Physician
5151015221
MI
Other
Enumeration date
05/17/2021
Last updated
09/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us