NPI 1023997459

Wannakee Johnson

Practitioner Driver Chicago, IL

Practice location

Address: 8211 S Damen Ave, Chicago, IL 60620-5335
Phone: (312) 221-6841

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence J52588065630 (IL)

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Registry record

NPI: 1023997459
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2025
Record last updated: 29 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.