Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antoinette Johnson, HIGHSCHOOLDIPLOMA

Individual provider Technician · NPI 1629729272

Antoinette Johnson, HIGHSCHOOLDIPLOMA is a Technician in Crete, Illinois. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

3494 Fairway Dr
Crete, IL 60417-1000
Phone: (773) 557-5931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician (primary) Taxonomy 374700000X

Record details

NPI number1629729272
Entity typeIndividual (Type 1)
GenderFemale
Credentials HIGHSCHOOLDIPLOMA
Sole proprietorNo
NPI enumeratedJanuary 14, 2022
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022