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Individual

DR. MARGARET M JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
10116 S WOOD ST, CHICAGO, IL 60643-2014
(773) 429-1848
Mailing address
10116 S WOOD ST, CHICAGO, IL 60643-2014
(773) 429-1848

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001632803
BCBS
IL
Enumeration date
11/20/2006
Last updated
07/08/2007
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