SearchIllinois235Z00000X

Michelle Johnson

NPI 1992215297 · on the registry since 2017 · sole proprietor

Practice

Address
923 Wisconsin Rd
New Lenox, IL 60451
Phone
(815) 717-6531

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
2017-10-02

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