Organization
MICHAJA PRENDERGAST JOHNSON, O.T.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHAJA PRENDERGAST JOHNSON M.S., OTR/L (PRESIDENT)
(810) 656-2863
Entity
Organization
Contact information
Practice address
1280 W WASHINGTON BLVD, CHICAGO, IL 60607-1930
(810) 656-2863
(312) 624-8750
Mailing address
1280 W WASHINGTON BLVD, CHICAGO, IL 60607-1930
(810) 656-2863
(312) 624-8750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008197
IL
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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