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Elizabeth Johnson

NPI 1619495934 · on the registry since 2017 · sole proprietor

Practice

Address
103 Briarbrook Dr
East Peoria, IL 61611
Phone
(309) 338-9204

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
2022-07-21

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