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Search › Illinois › 101Y00000X

Tyesha Johnson

NPI 1801399480 · on the registry since 2018

Practice

Address
5910 W Division St
Chicago, IL 60651
Phone
(773) 777-7112
Organisation at this address
Youth Outreach Services
Youth Outreach Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2018-03-09

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