Individual
TARQUIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4146 ARLINGTON DR, RICHTON PARK, IL 60471-1206
(708) 491-6183
Mailing address
4146 ARLINGTON DR, RICHTON PARK, IL 60471-1206
(708) 491-6183
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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