Johnson, Catherine

Johnson, Catherine is an individual health care provider with primary practice located at 256 Holmes Ave , Clarendon Hills IL 60514-1444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Johnson, Catherine can be contacted via phone (630) 908-7036.

Contact Information

Primary practice address
256 Holmes Ave Clarendon Hills IL 60514-1444
Phone: (630) 908-7036
Fax: (630) 908-7037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01056490 Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036107532 Illinois

Profile Details

NPI number 1083609218
LBN Legal business name Johnson, Catherine
Credentials MD FACEP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Mar 6th, 2013 - about 11 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 1083609218 NPPES
Indiana MEDICAID 200430170

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