NPI 1134681638

Patricia Ann Johnson

Practitioner Mental Illness Community Based Residential Treatment Facility Chicago, IL

Practice location

Address: 3062 E 91st St, Chicago, IL 60617-4401
Phone: (773) 371-2900

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Illinois →

Registry record

NPI: 1134681638
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2019
Record last updated: 3 Apr 2019

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.