Individual
MEKELL ALEXZANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1400 BROOKDALE RD, NAPERVILLE, IL 60563-2126
(630) 416-6565
Mailing address
7935 S WHIPPLE ST, CHICAGO, IL 60652-1628
(773) 915-3259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014493
IL
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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