NPI 1073100731

Annette Johnson

Practitioner Driver Harvey, IL

Practice location

Address: 14321 Parnell Ave, Harvey, IL 60426-1255
Phone: (708) 307-4915

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 09228144 (IL)

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Registry record

NPI: 1073100731
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2020
Record last updated: 29 Dec 2020

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.