Individual
JADA JARIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5375
(312) 942-3113
Mailing address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5375
(312) 942-3113
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.123239
IL
2084P0800X
Psychiatry Physician
Primary
336.084568
IL
Other
Enumeration date
08/04/2008
Last updated
07/01/2025
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