Individual
KELLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1775 DEMPSTER ST, DEPARTMENT OF PHARMACY, PARK RIDGE, IL 60068-1143
(847) 723-5890
Mailing address
1775 DEMPSTER ST, DEPARTMENT OF PHARMACY, PARK RIDGE, IL 60068-1143
(847) 723-5890
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0202206314
VA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051290309
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH020409
GA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us