SearchIllinois101YM0800X

Nicole Johnson, BA

NPI 1356093272 · on the registry since 2022 · sole proprietor

Practice

Address
12 Health Services Dr
Dekalb, IL 60115
Phone
(815) 756-4875
Organisation at this address
Ben Gordon Center
Ben Gordon Center
Ben Gordon Center
Ben Gordon Center
Northwestern Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
238

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2022-01-21

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