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1962008763
JILL JOHNSON
LA GRANGE PARK, IL
NPI
1962008763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
Mrs. JILL JOHNSON CADC
333 N LA GRANGE RD
LA GRANGE PARK, IL 60526-5646
Phone number: 773-387-6746
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Mailing Address
Mrs. JILL JOHNSON CADC
6554 N CAMPBELL AVE # 2
CHICAGO, IL 60645-5330
Phone number: 773-387-6746
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