Individual
MR. SEAN MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COMS
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-2273
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-2273
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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