Individual
MR. DERICK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8543 S STONY ISLAND AVE STE 3, CHICAGO, IL 60617-2249
(312) 380-9808
Mailing address
11713 S MAPLEWOOD AVE, CHICAGO, IL 60655-1524
(312) 380-9808
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.022844
IL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
286201
MT
Other
Enumeration date
04/22/2021
Last updated
05/05/2026
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