Individual
ERIK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2990 N PERRYVILLE RD UNIT 1100, ROCKFORD, IL 61107-6827
(815) 469-1500
Mailing address
2990 N PERRYVILLE RD UNIT 1100, ROCKFORD, IL 61107-6827
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014841
IL
Other
Enumeration date
09/18/2020
Last updated
08/13/2024
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