Dy-Johnson, Jessica

Dy-Johnson, Jessica is an individual health care provider with primary practice located at 16011 108Th Ave , Orland Park IL 60467-8786. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Dy-Johnson, Jessica can be contacted via phone (708) 873-2000.

Contact Information

Primary practice address
16011 108Th Ave Orland Park IL 60467-8786
Phone: (708) 873-2000
Fax: (708) 364-0430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036132485 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 125.058252 Illinois

Profile Details

NPI number 1750693966
LBN Legal business name Dy-Johnson, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated Dec 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750693966 NPPES
Illinois MEDICAID 036132485

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