Johnson, Gary S

Johnson, Gary S is an individual health care provider with primary practice located at 522 Main St , Evanston IL 60202-1815. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Johnson, Gary S can be contacted via phone (474) 751-6308.

Contact Information

Primary practice address
522 Main St Evanston IL 60202-1815
Phone: (474) 751-6308
Fax: (847) 475-1631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 056009329 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056009329 Illinois

Profile Details

NPI number 1619269891
LBN Legal business name Johnson, Gary S
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2011
Last updated May 28th, 2019 - about 5 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 1619269891 NPPES
Illinois Other 056-009329 STATE LICENSE

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