Johnson, Mary Teresa

Johnson, Mary Teresa is an sole proprietor health care provider with primary practice located at 111 N County Farm Rd , Wheaton IL 60187-3977. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Community Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Mary Teresa can be contacted via phone (630) 682-7979.

Contact Information

Primary practice address
111 N County Farm Rd Wheaton IL 60187-3977
Phone: (630) 682-7979
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209002769 Illinois
Nursing Service Providers / Community Health 163WC1500X 041-173677 Illinois

Profile Details

NPI number 1982781555
LBN Legal business name Johnson, Mary Teresa
Credentials RN, APN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Nov 30th, 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.

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