Organization
WEST SIDE EMERGENCY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M JOHNSON M.D. (LLP MANAGING PARTNER)
(800) 253-5358
Entity
Organization
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
(708) 383-3159
Mailing address
75 REMIT DRIVE, SUITE 6322, CHICAGO, IL 60675-6322
(800) 701-3381
(239) 939-1682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/13/2006
Last updated
03/28/2008
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