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1033967765
JACK JOHNSON
CHICAGO, IL
NPI
1033967765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
JACK JOHNSON RSA
219 W CHICAGO AVE
CHICAGO, IL 60654-5600
Phone number: 872-777-8110
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Mailing Address
JACK JOHNSON RSA
18555 WESTERN AVE
HOMEWOOD, IL 60430-3116
Phone number:
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