Individual
YARLESHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
1 E ERIE ST STE 525, CHICAGO, IL 60611-2980
(847) 236-2219
Mailing address
8518 S SAINT LAWRENCE AVE, CHICAGO, IL 60619-6025
(312) 286-1160
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
T3J8H7X2
IL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
T3J8H7X2
IL
Other
Enumeration date
03/01/2022
Last updated
03/10/2022
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