Johnson, Jessica Nicole

Johnson, Jessica Nicole is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc1145 , Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Johnson, Jessica Nicole can be contacted via phone (773) 702-3020.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc1145 Chicago IL 60637-1443
Phone: (773) 702-3020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.074272 Illinois
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 036.160083 Illinois

Profile Details

NPI number 1285191908
LBN Legal business name Johnson, Jessica Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2019
Last updated May 5th, 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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