| Jada J Johnson Md | |
|
11451 S Michigan Ave Chicago IL 60628-4901 | |
| (773) 995-9600 | |
| (773) 995-9601 |
| Full Name | Jada J Johnson Md |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11451 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Angela J Ratcliffe (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 7739959600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jada J Johnson Md 11451 S Michigan Ave Chicago IL 60628-4901 Ph: (773) 995-9600 | Jada J Johnson Md 11451 S Michigan Ave Chicago IL 60628-4901 Ph: (773) 995-9600 |
| NPI Number | 1134414782 |
|---|---|
| Provider Enumeration Date | 06/11/2011 |
| Last Update Date | 06/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134414782 | NPI | - | NPPES |
| 036123239 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 036123239 (Illinois) | Primary |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |