Individual
ANTOINETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIGH SCHOOL DIPLOMA
Contact information
Practice address
3494 FAIRWAY DR, CRETE, IL 60417-1000
(773) 557-5931
Mailing address
3494 FAIRWAY DR, CRETE, IL 60417-1000
(773) 557-5931
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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