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Terri J Johnston
Specialist in Rockford, Illinois
NPI 1225105521

Terri J Johnston is a Specialist based in Rockford, IL. Terri J Johnston practices in Rockford, IL. The NPI Number for Terri J Johnston is 1225105521 and holds a License No. 011-167276 (Illinois).

The current practice location address for Terri J Johnston is 2591 N Mulford Rd, Rockford, IL and can be reached out via phone at 815-639-9251.

Location: 2591 N Mulford Rd, Rockford, IL, 61114-5643
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Provider Profile Details
NPI Number
1225105521
Provider Name
Terri J Johnston
Credential
Provider Entity Type
Individual
Gender
Female
Address
2591 N Mulford Rd, Rockford, IL, 61114-5643
Phone Number
815-639-9251
Fax Number
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5184320001 01 IL PTAN
institution
Provider Business Practice Location Address Details
Address
2591 N Mulford Rd
City
State
Zip
61114-5643
Phone Number
815-639-9251
Fax Number
person
Provider Business Mailing Address Details
Address
2591 N Mulford Rd
City
State
Zip
61114-5643
Phone Number
815-639-9251
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
011-167276 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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