Individual
JACQUELINE ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1879 CHESTNUT AVE, GLENVIEW, IL 60025-1602
(630) 296-6383
Mailing address
352 S BEVERLY LN, ARLINGTON HEIGHTS, IL 60005-2142
(847) 274-6157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010662
IL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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