Search › Illinois › 343900000X
Quintella Johnson
NPI 1164905378 · on the registry since 2018 · sole proprietor
Practice
- Address
- 14933 Grant St
Dolton, IL 60419 - Phone
- (708) 612-7238
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois