ELAINE JOHNSON

LAKE VILLA, IL
NPI1447864665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146006078)
Enumeration Date2020-09-04
Last Update Date2020-09-10
Business Address
ELAINE JOHNSON
818 E GRASS LAKE RD
LAKE VILLA, IL 60046-7470
Phone number: 847-838-8639
Mailing Address
ELAINE JOHNSON
2480 BRIDLE CT
ROUND LAKE BEACH, IL 60073-4130
Phone number: 847-912-1862
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