Ebony Nicole Johnson in Crestwood - Family Medicine
Ebony Nicole Johnson - NPI 1497847255
Ebony Nicole Johnson is a Family Medicine in Crestwood, Illinois. Ebony Nicole Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ebony Nicole Johnson is 1497847255. The last update date is 2018-07-23.
Ebony Nicole Johnson's current location address is 4742 Cal Sag Rd, Crestwood, Illinois. You can contact this provider via phone number 7089152727. The mailing address for Ebony Nicole Johnson is 4742 Cal Sag Rd, Crestwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ebony Nicole Johnson |
|---|---|
| Address | 4742 Cal Sag Rd, Crestwood, Illinois |
| Phone Number | 7089152727 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497847255 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2018-07-23 |
Provider Mailing Address Detail
| Address | 4742 Cal Sag Rd |
|---|---|
| City | Crestwood |
| State | Illinois (IL) |
| Post Code | 60418 |
| Phone Number | 7089152727 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3612077 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Ebony Nicole Johnson by the Centers for Medicare & Medicaid Services?
The Ebony Nicole Johnson has been assigned the NPI (National Provider Identifier) 1497847255. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ebony Nicole Johnson is geographically located?
The Ebony Nicole Johnson is physically situated at the following location: 4742 Cal Sag Rd, Crestwood, IL, 60418.
What is the Ebony Nicole Johnson's specialty and taxonomy code?
The Ebony Nicole Johnson's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When was the Ebony Nicole Johnson's 1497847255 issued?
The Ebony Nicole Johnson's 1497847255 was issued on 2006-09-29.
When was the information regarding Ebony Nicole Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ebony Nicole Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-07-23.