Individual
JAMILAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
Mailing address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.013642
IL
Other
Enumeration date
12/09/2015
Last updated
09/09/2021
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