Search › Illinois › 111N00000X
Tandy Johnson
NPI 1316393002 · on the registry since 2016 · sole proprietor
Practice
- Address
- 8843 Elevator Rd
Roscoe, IL 61073 - Phone
- (815) 520-3973
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-11
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