Johnson, Jennifer

Johnson, Jennifer is an individual health care provider with primary practice located at 303 W Ogden Ave Fl 2 , Westmont IL 60559-1419. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Jennifer can be contacted via phone (630) 790-1872.

Contact Information

Primary practice address
303 W Ogden Ave Fl 2 Westmont IL 60559-1419
Phone: (630) 790-1872
Fax: (630) 968-3762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085001394 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001394 Illinois

Profile Details

NPI number 1235126962
LBN Legal business name Johnson, Jennifer
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 19th, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235126962 NPPES
Illinois Other 970023362 RAILROAD MEDICARE
Illinois MEDICAID 085001394 RAILROAD MEDICARE

Popular Providers