Darius Johnson

NPI 1124643887 · on the registry since 2020

Practice

Address: 1902 W Cermak Rd
Chicago, IL 60608
Phone: (773) 596-9045
Organisation at this address: Icare Optical, Llc
Advanced Wellness Institute
National Youth Advocate Program, Inc
National Youth Advocate Program, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois