Johnson, Jeff

Johnson, Jeff is an sole proprietor health care provider with primary practice located at 17800 Kedzie Ave Ste Aip , Hazel Crest IL 60429-2029. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is his primary health care specialty. Johnson, Jeff can be contacted via phone (708) 213-3230.

Contact Information

Primary practice address
17800 Kedzie Ave Ste Aip Hazel Crest IL 60429-2029
Phone: (708) 213-3230
Fax: (708) 213-0101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 041383616 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 209023852 Illinois

Profile Details

NPI number 1902479926
LBN Legal business name Johnson, Jeff
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2021
Last updated Sep 23rd, 2021 - about 4 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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