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Cynthia Johnson
NPI 1982844973 · on the registry since 2009 · sole proprietor
Practice
- Address
- 10625 S Michigan Ave
Chicago, IL 60628 - Phone
- (773) 928-1109
- Fax
- (773) 928-2099
- Organisation at this address
- Cynthias Ceramic Paint A Gift Hobby Studio
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 101YA0400X
251C00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-03-10
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