Individual
DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 WALSH CIR, YORKVILLE, IL 60560-9198
(630) 870-2958
Mailing address
265 WALSH CIR, YORKVILLE, IL 60560-9198
(630) 870-2958
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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