Johnson, Mark C
Johnson, Mark C is an individual health care provider with primary practice located at 9845 W Roosevelt Rd , Westchester IL 60154-2758. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Johnson, Mark C can be contacted via phone (708) 681-2325.Contact Information
Primary practice address
9845 W Roosevelt Rd
Westchester IL 60154-2758
Phone: (708) 681-2325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1740761881 |
|---|---|
| LBN Legal business name | Johnson, Mark C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2018 |
| Last updated | Aug 27th, 2018 - about 7 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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