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Antoinette Johnson, HIGH SCHOOL DIPLOMA
NPI 1629729272 · on the registry since 2022
Practice
- Address
- 3494 Fairway Dr
Crete, IL 60417 - Phone
- (773) 557-5931
- Organisation at this address
- Wavebridge Enterprise Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Technician
374700000X
- Sex
- Female
- Record last updated
- 2022-01-14
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