Individual
AMY MICHELLE JOHNSON HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
350 SURRYSE RD STE 100, LAKE ZURICH, IL 60047-3217
(847) 438-2144
(847) 438-4654
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-165541
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-165541
LICENSE
IL
Enumeration date
04/14/2020
Last updated
10/11/2023
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