Johnson Iii, William Ellsworth
Johnson Iii, William Ellsworth is an individual health care provider with primary practice located at 5Th Ave At Roosevelt Rd. Edward Hines Jr. Va Hospital, Bldg 200 Room 610, Hines IL 60141-5122. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson Iii, William Ellsworth can be contacted via phone (708) 202-2101.Contact Information
Primary practice address
5Th Ave At Roosevelt Rd. Edward Hines Jr. Va Hospital, Bldg 200 Room 610
Hines IL 60141-5122
Phone: (708) 202-2101
Fax: (708) 202-2346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1255378881 |
|---|---|
| LBN Legal business name | Johnson Iii, William Ellsworth |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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