Johnson, Gwendolyn L

Johnson, Gwendolyn L is an individual health care provider with primary practice located at 17850 Baker Ave , Country Club Hills IL 60478-4729. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Johnson, Gwendolyn L can be contacted via phone (708) 922-0538.

Contact Information

Primary practice address
17850 Baker Ave Country Club Hills IL 60478-4729
Phone: (708) 922-0538
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1962708545
LBN Legal business name Johnson, Gwendolyn L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2011
Last updated Jan 31st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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