Johnson, Julie A

Johnson, Julie A is an individual health care provider with primary practice located at 13011 S 104Th Ave Suite 200, Palos Park IL 60464-1506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Julie A can be contacted via phone (708) 448-3300.

Contact Information

Primary practice address
13011 S 104Th Ave Suite 200 Palos Park IL 60464-1506
Phone: (708) 448-3300
Fax: (708) 448-6972
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1366459521
LBN Legal business name Johnson, Julie A
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 9th, 2007 - about 18 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 1366459521 NPPES
Illinois Other 01623882 BC/BS GROUP NUMBER

Popular Providers