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Marie Johnson

NPI 1467219683 · on the registry since 2024 · sole proprietor

Practice

Address
364 Neola St
Park Forest, IL 60466
Phone
(708) 362-8960
Organisation at this address
Our Bags Of Love Foundation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Also registered as
101Y00000X
172V00000X
251B00000X
Sex
Female
Record last updated
2024-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois