Johnson, Nicole Ruth

Johnson, Nicole Ruth is an individual health care provider with primary practice located at 4440 W 95Th St Ste 1200H , Oak Lawn IL 60453-2600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Johnson, Nicole Ruth can be contacted via phone (708) 684-5341.

Contact Information

Primary practice address
4440 W 95Th St Ste 1200H Oak Lawn IL 60453-2600
Phone: (708) 684-5341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125061008 Illinois
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 036-137797 Illinois

Profile Details

NPI number 1427311745
LBN Legal business name Johnson, Nicole Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Apr 25th, 2022 - about 3 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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