Mr Brian Aubrey Johnson, | |
1213 Blackhawk Dr, University Park, IL 60484-3321 | |
(708) 200-0034 | |
Not Available |
Full Name | Mr Brian Aubrey Johnson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1213 Blackhawk Dr, University Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811582117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.004542 (Illinois) | Primary |
Entity Name | Neurotechtonics Inc Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245932086 PECOS PAC ID: 5597100255 Enrollment ID: O20240304003180 |
Mailing Address | Practice Location Address |
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Mr Brian Aubrey Johnson, 1213 Blackhawk Dr, University Park, IL 60484-3321 Ph: (708) 200-0034 | Mr Brian Aubrey Johnson, 1213 Blackhawk Dr, University Park, IL 60484-3321 Ph: (708) 200-0034 |
Dr. Catrena Craig, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 691 Sullivan Ln, University Park, IL 60484 Phone: 630-865-6210 | |
Mr. Maurice R Hill, M.A , LPC , NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1038 Bradfield Ct, University Park, IL 60484 Phone: 630-697-6676 | |
Colin D Kirchner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Circle Dr, University Park, IL 60484 Phone: 708-497-0293 | |
Oluwabukola Oni, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 Harvest Ln, University Park, IL 60484 Phone: 708-653-6998 | |
Mrs. Panola E. Russell, LCPC CCBT LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 855 Burnham Dr Apt F, University Park, IL 60484 Phone: 708-534-7559 | |
Mrs. Daniece J Townsend, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 University Pkwy, University Park, IL 60484 Phone: 708-235-7334 Fax: 708-235-3961 |