Individual
JEFF JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-CNP
Contact information
Practice address
676 N SAINT CLAIR ST STE 14-044, CHICAGO, IL 60611-2927
(312) 695-1800
(312) 695-1394
Mailing address
676 N SAINT CLAIR ST STE 14-044, CHICAGO, IL 60611-2927
(312) 695-1800
(312) 695-1394
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041383616
IL
363L00000X
Nurse Practitioner
Primary
209023852
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
209023852
IL
Other
Enumeration date
07/19/2021
Last updated
04/16/2026
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