SearchIllinois252Y00000X

Tracey Johnson

NPI 1700246873 · on the registry since 2016 · sole proprietor

Practice

Address
12410 S Aberdeen St
Calumet Park, IL 60827
Phone
(773) 809-2245

Registry record

Primary taxonomy
252Y00000X
252Y00000X
Sex
Female
Record last updated
2016-03-02

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