SearchIllinois3747P1801X

Shirley Johnson

NPI 1306706106 · on the registry since 2025 · sole proprietor

Practice

Address
1033 Wallace St
Alton, IL 62002
Phone
(618) 447-7321

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-13

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