SearchIllinois164W00000X

Tikina Johnson

NPI 1639769003 · on the registry since 2021 · sole proprietor

Practice

Address
9051 S Justine St
Chicago, IL 60620
Phone
(312) 536-3425

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-20

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