Individual
MRS. JOSEPHINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14900 ARTESIAN AVE, HARVEY, IL 60426-1306
(708) 331-5106
(708) 333-7107
Mailing address
14900 ARTESIAN AVE, HARVEY, IL 60426-1306
(708) 331-5106
(708) 333-7107
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35-2194918
—
IL
Enumeration date
10/31/2014
Last updated
10/31/2014
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