Individual
JESSICA DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 BIESTERFIELD RD STE 510, ELK GROVE VILLAGE, IL 60007-3367
(847) 981-3660
(847) 956-5108
Mailing address
2160 S 1ST AVE, ROOM 106, MAYWOOD, IL 60153-3328
(708) 216-5402
(708) 216-6839
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.137545
IL
207RP1001X
Pulmonary Disease Physician
036137545
IL
Other
Enumeration date
04/08/2012
Last updated
02/01/2024
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