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1346237492
SHANA JOHNSON
CHICAGO, IL
NPI
1346237492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085-001676)
Enumeration Date
2005-10-04
Last Update Date
2007-07-08
Business Address
Mrs. SHANA JOHNSON PA-C
1501 S CALIFORNIA AVE
CHICAGO, IL 60608-1732
Phone number: 773-257-6663
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Mailing Address
Mrs. SHANA JOHNSON PA-C
3537 PAYSPHERE CIR
CHICAGO, IL 60674-0035
Phone number: 708-786-2900
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