MEDICARE: MS. JOYCELYN ANNETTE JOHNSON D.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1235423690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOYCELYN ANNETTE JOHNSON D.T.

Provider Business Mailing Address
First Line	:	4850 S LAKE PARK AVE # 21007
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-2130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4850 S LAKE PARK AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-2130
Country	:	US
Telephone Number	:	773-624-5089
Fax Number	:	773-624-5089

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2011
Last Update Date	:	06/02/2011

Similar Medicare Providers

1689914343 — WINNING TEAM TRUCKING, INC.
Practice Location Address:

4850 S LAKE PARK AVE , SUITE 210
CHICAGO, IL
60615-2130

Practice Phone: 312-804-2141
Practice Fax:

1780028035 — TRANS-A-WAY
Practice Location Address:

4850 S LAKE PARK AVE , SUITE #210
CHICAGO, IL
60615-2130

Practice Phone: 312-804-2141
Practice Fax:

1093822355 — MS. VALERIE B WILEY M.A.
Practice Location Address:

2130 N LINCOLN PARK W
CHICAGO, IL
60614-4649

Practice Phone: 773-871-1053
Practice Fax:

1740363753 — DR. JOHN ROLFE STUTESMAN PSYD
Practice Location Address:

737 N MICHIGAN AVE STE 2130
CHICAGO, IL
60611-6747

Practice Phone: 312-802-1500
Practice Fax:

1114085487 — LETIZIA A BARNES APN
Practice Location Address:

335 N MASON AVE
CHICAGO, IL
60644-2130

Practice Phone: 773-378-3621
Practice Fax: 773-378-4028

1548384449 — ID
Practice Location Address:

2130 N DAMEN
CHICAGO, IL
60647

Practice Phone: 773-755-4343
Practice Fax: 312-929-2376

Directions to “ MS. JOYCELYN ANNETTE JOHNSON D.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.