Individual
ALSHILOH S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7645 S KINGSTON AVE # 2, CHICAGO, IL 60649-6456
(773) 990-9833
Mailing address
7645 S KINGSTON AVE # 2, CHICAGO, IL 60649-6456
(773) 990-9833
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
12/08/2023
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