Nicole Ruth Johnson, MD | |
4440 W 95th St Ste 1200h, Oak Lawn, IL 60453-2600 | |
(708) 684-5341 | |
Not Available |
Full Name | Nicole Ruth Johnson |
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Gender | Female |
Speciality | Pediatrics - Child Abuse Pediatrics |
Location | 4440 W 95th St Ste 1200h, Oak Lawn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427311745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125061008 (Illinois) | Secondary |
2080C0008X | Pediatrics - Child Abuse Pediatrics | 036-137797 (Illinois) | Primary |
Entity Name | University Of Minnesota Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Hennepin Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
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Nicole Ruth Johnson, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Nicole Ruth Johnson, MD 4440 W 95th St Ste 1200h, Oak Lawn, IL 60453-2600 Ph: (708) 684-5341 |
Dr. Saad Ahmed Siddiqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 | |
Karla Katherine Wehrheim, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4440 West 95th Street, Pediatric Cardiology, Oak Lawn, IL 60453 Phone: 708-648-5580 Fax: 708-684-4068 | |
Dr. Alexander James Javois, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 | |
Dr. Naveen Imran, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 | |
Ms. Samrita Sawhney, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4220 W 95th St, Oak Lawn, IL 60453 Phone: 312-949-4200 Fax: 708-423-1899 | |
Daniella Nana Owusuwaah, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4220 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5341 | |
Dr. Verlainna Cathleen-shaw Callentine, M.D., M.ED. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4007 |