Johnson, Derrick James

Johnson, Derrick James is an sole proprietor health care provider with primary practice located at 1022 Madison , Oak Park IL 60302. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Johnson, Derrick James can be contacted via phone (708) 802-1303.

Contact Information

Primary practice address
1022 Madison Oak Park IL 60302
Phone: (708) 802-1303
Fax: (708) 386-8602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180004135 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 180004135 Illinois

Profile Details

NPI number 1497896674
LBN Legal business name Johnson, Derrick James
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Nov 22nd, 2016 - about 10 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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