Johnson, Patrice Lanae

Johnson, Patrice Lanae is an sole proprietor health care provider with primary practice located at 13601 Kenton Ave , Crestwood IL 60418-1938. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Johnson, Patrice Lanae can be contacted via phone (708) 926-7270.

Contact Information

Primary practice address
13601 Kenton Ave Crestwood IL 60418-1938
Phone: (708) 926-7270
Fax: (855) 793-8197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051-039374 Illinois

Profile Details

NPI number 1497340236
LBN Legal business name Johnson, Patrice Lanae
Credentials RPH, PMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2021
Last updated Mar 3rd, 2021 - 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.

Request for update

Popular Providers