Johnson, Jill

Johnson, Jill is an individual health care provider with primary practice located at 333 N La Grange Rd , La Grange Park IL 60526-5646. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Jill can be contacted via phone (773) 387-6746.

Contact Information

Primary practice address
333 N La Grange Rd La Grange Park IL 60526-5646
Phone: (773) 387-6746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1962008763
LBN Legal business name Johnson, Jill
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2020
Last updated Dec 7th, 2020 - about 6 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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