Individual
JORDYN DENNELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
820 SOUTH WOOD STREET SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933
Mailing address
820 SOUTH WOOD STREET SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.081016
IL
207P00000X
Emergency Medicine Physician
Primary
V9029
TX
Other
Enumeration date
04/07/2022
Last updated
06/13/2025
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