Johnson, Kelly E.

Johnson, Kelly E. is an individual health care provider with primary practice located at 1701 E Woodfield Road Suite 1000, Schaumburg IL 60173-5113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johnson, Kelly E. can be contacted via phone (847) 240-2211.

Contact Information

Primary practice address
1701 E Woodfield Road Suite 1000 Schaumburg IL 60173-5113
Phone: (847) 240-2211
Fax: (847) 240-2418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036082767 Illinois

Profile Details

NPI number 1447273933
LBN Legal business name Johnson, Kelly E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 17th, 2013 - about 13 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 1447273933 NPPES
Illinois MEDICAID 036082767

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