Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TRACEY JOHNSON
Active Sole ProprietorMS. TRACEY JOHNSON is a Early Intervention Provider Agency healthcare provider located in CALUMET PARK, Illinois. NPI 1700246873 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · CALUMET PARK, IL
Registration Details
- NPI Number
- 1700246873
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2016 (10.455741329112 yrs)
- Last Updated
- Mar 2, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
12410 S ABERDEEN STCALUMET PARK, IL, 608275806Browse IL providers · Browse ZIP 60827
- Phone
- 7738092245
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.