Individual
JILLIAN IRENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 ESSINGTON RD, JOLIET, IL 60435-4912
(815) 220-5632
Mailing address
750 ESSINGTON RD, JOLIET, IL 60435-4912
(815) 220-5632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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