Johnson, Pamela Jean

Johnson, Pamela Jean is an sole proprietor health care provider with primary practice located at 5120 Main St , Downers Grove IL 60515-4656. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Pamela Jean can be contacted via phone (630) 969-7213.

Contact Information

Primary practice address
5120 Main St Downers Grove IL 60515-4656
Phone: (630) 969-7213
Fax: (630) 620-6194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1487705893
LBN Legal business name Johnson, Pamela Jean
Credentials MA, LCPC, DAPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487705893 NPPES
Illinois Other BCBS 01608412 BLUE CROSS OF ILLINOIS
Illinois Other UBH 62-48556 BLUE CROSS OF ILLINOIS

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