Philip Johnson

NPI 1477941516 · on the registry since 2014

Practice

Address: 4750 N Sheridan Rd
Suite 500
Chicago, IL 60640
Phone: (773) 751-4113
Organisation at this address: Sh Entreprise, Inc
Veteran Youth Corp
Heartland Alliance Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-12-23

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