Individual
TETE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8912 S COMMERCIAL AVE APT 3, CHICAGO, IL 60617-3213
(312) 285-4272
Mailing address
8912 S COMMERCIAL AVE APT 3, CHICAGO, IL 60617-3213
(312) 285-4272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043134216
IL
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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