SearchIllinois101YM0800X

Sidney Johnson, LSW

NPI 1417735127 · on the registry since 2023 · sole proprietor

Practice

Address
18242 Ashland Ave
Homewood, IL 60430
Phone
(623) 759-1716
Organisation at this address
Returning 2 Wellness, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-15

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