Johnson, Christine

Johnson, Christine is an individual health care provider with primary practice located at 8311 Roosevelt Rd , Forest Park IL 60130-2529. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Johnson, Christine can be contacted via phone (708) 771-7000.

Contact Information

Primary practice address
8311 Roosevelt Rd Forest Park IL 60130-2529
Phone: (708) 771-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209008950 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209008950 Illinois

Profile Details

NPI number 1750661112
LBN Legal business name Johnson, Christine
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2011
Last updated Jun 14th, 2022 - about 2 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 1750661112 NPPES
Illinois Other IL5686035 MEDICARE PTAN
Illinois MEDICAID PAYEE 2 MEDICARE PTAN

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