Susan Johnson
Susan Johnson is an Attendant Care Provider in Mattoon, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
24 Apple DrMattoon, IL 61938-9263
Phone: (217) 273-1260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|---|
| Attendant Care Provider | Taxonomy 3747A0650X (IL) |
Record details
| NPI number | 1740990803 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2022 |
| Last updated in NPPES | November 30, 2022 |
| Certification date | November 30, 2022 |
| Mailing address | 24 Apple Dr, Mattoon, IL 61938-9263 |
Other providers in Mattoon
-
Pamela Kay Hutton
1300 Lafayette Ave, Mattoon, IL 61938-4005 · (217) 273-9956