Johnson, Tracey

Johnson, Tracey is an sole proprietor health care provider with primary practice located at 12410 S Aberdeen St , Calumet Park IL 60827-5806. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Johnson, Tracey can be contacted via phone (773) 809-2245.

Contact Information

Primary practice address
12410 S Aberdeen St Calumet Park IL 60827-5806
Phone: (773) 809-2245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1700246873
LBN Legal business name Johnson, Tracey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2016
Last updated Mar 2nd, 2016 - about 8 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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