Clayton James Johnson, DO is a
Student In An Organized Health Care Education/training Program physician based in Park Ridge, Illinois. Clayton James Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is 1775 Ballard Rd, Park Ridge, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 318-9340.
NPI number for Clayton James Johnson is 1760185904 and his current mailing address is 1775 Ballard Rd, Park Ridge, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760185904.
Physician's Profile
| Full Name | Clayton James Johnson |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1775 Ballard Rd, Park Ridge, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760185904
- Provider Enumeration Date: 03/27/2023
- Last Update Date: 06/14/2023
Medical Identifiers
Medical identifiers for Clayton James Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760185904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 125.082286 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Clayton James 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 Address | Practice Location Address |
|---|
Clayton James Johnson, DO
1775 Ballard Rd,
Park Ridge, IL 60068-1005
Ph: (847) 318-9340 | Clayton James Johnson, DO
1775 Ballard Rd,
Park Ridge, IL 60068-1005
Ph: (847) 318-9340 |
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