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Teti Johnson, NURSE PRACTITIONER
NPI 1366814725 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5219 W Madison St
Chicago, IL 60644 - Phone
- (773) 378-9401
- Organisation at this address
- Boycin Medical Clinic Ltd.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-26
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