Jack Johnson, RSA - Counselor in Chicago, IL

Jack Johnson, RSA is a Counselor - Mental Health based in Chicago, Illinois. Jack Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is 219 W Chicago Ave, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at (872) 777-8110.

NPI number for Jack Johnson is 1033967765 and his current mailing address is 18555 Western Ave, Homewood, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033967765.

Contact Information

Jack Johnson, RSA
219 W Chicago Ave,
Chicago, IL 60654-5600
(872) 777-8110
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJack Johnson
GenderMale
SpecialityCounselor - Mental Health
Location219 W Chicago Ave, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033967765
  • Provider Enumeration Date: 05/08/2024
  • Last Update Date: 05/08/2024

Medical Identifiers

Medical identifiers for Jack Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033967765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Johnson, RSA
18555 Western Ave,
Homewood, IL 60430-3116

Ph: () -
Jack Johnson, RSA
219 W Chicago Ave,
Chicago, IL 60654-5600

Ph: (872) 777-8110

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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