STACIE L JOHNSON

MCHENRY, IL
NPI1770696890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085002273)
Enumeration Date2006-08-15
Last Update Date2021-05-05
Business Address
STACIE L JOHNSON pac
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050-8409
Phone number: 815-759-3100
Mailing Address
STACIE L JOHNSON pac
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050-8409
Phone number: 815-759-3100
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