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Tracie Johnson, M.S., CCC-SLP
NPI 1417398462 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5533 N Galena Rd
Peoria Heights, IL 61616 - Phone
- (309) 682-5428
- Organisation at this address
- Osf Healthcare System
Midwest Health Operations, Llc
Goldwater Care Peoria Heights LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-07-07
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