Individual
JESSICA DY-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16011 108TH AVE, ORLAND PARK, IL 60467-8786
(708) 873-2000
(708) 364-0430
Mailing address
16011 108TH AVE, ORLAND PARK, IL 60467-8786
(708) 873-2000
(708) 364-0430
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125.058252
IL
208M00000X
Hospitalist Physician
036132485
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036132485
—
IL
Enumeration date
07/06/2010
Last updated
10/14/2025
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