GARY S JOHNSON

EVANSTON, IL
NPI1619269891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056009329)
Additional Taxonomies225XH1200X Occupational Therapist, Hand
(Licence: IL  056009329)
Enumeration Date2011-05-06
Last Update Date2019-05-28
Business Address
GARY S JOHNSON OT
522 MAIN ST
EVANSTON, IL 60202-1815
Phone number: 474-751-6308
Mailing Address
GARY S JOHNSON OT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6250