Individual
JADA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 W ROOSEVELT RD STE 146, WEST CHICAGO, IL 60185-4819
(630) 682-7400
Mailing address
395 EXECUTIVE DR APT 208, CAROL STREAM, IL 60188-2437
(219) 880-6389
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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