Johns, Mark J

Johns, Mark J is an individual health care provider with primary practice located at 350 S Northwest Hwy Ste 300 , Park Ridge IL 60068-4262. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Johns, Mark J can be contacted via phone (773) 502-8252.

Contact Information

Primary practice address
350 S Northwest Hwy Ste 300 Park Ridge IL 60068-4262
Phone: (773) 502-8252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1683 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.001399 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.001399 Illinois

Profile Details

NPI number 1437120680
LBN Legal business name Johns, Mark J
Credentials PSYD, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437120680 NPPES
Illinois MEDICAID 180.001399

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