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Individual

DR. NICK JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD.

Contact information

Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-8553
(847) 688-7411
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-8553
(847) 688-7411

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001749A
IN
103TC0700X
Clinical Psychologist
Primary
071.007465
IL
103TC0700X
Clinical Psychologist
20042393A
IN

Other

Enumeration date
03/23/2006
Last updated
04/25/2023
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