Mr Brian Keith Johnson, FNP-C, CRNFA, MSN | |
21200 S Lagrange Rd, Suite 134, Frankfort, IL 60423-2003 | |
(708) 256-0816 | |
(815) 534-5576 |
Full Name | Mr Brian Keith Johnson |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 21200 S Lagrange Rd, Frankfort, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124180708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WR0006X | Registered Nurse - Registered Nurse First Assistant | 041-249147 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209009090 (Illinois) | Primary |
Entity Name | Little Company Of Mary Affiliated Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033162086 PECOS PAC ID: 5193629202 Enrollment ID: O20040127000775 |
Entity Name | Crawford Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
Entity Name | Springfield Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Entity Name | Acute Care Surgery Of South Dakota Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730797184 PECOS PAC ID: 5698195030 Enrollment ID: O20201228000468 |
Entity Name | Acute Care Surgery Midwest, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992380943 PECOS PAC ID: 9931508835 Enrollment ID: O20210526000929 |
Mailing Address | Practice Location Address |
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Mr Brian Keith Johnson, FNP-C, CRNFA, MSN 21200 S Lagrange Rd, Suite 134, Frankfort, IL 60423-2003 Ph: (708) 256-0816 | Mr Brian Keith Johnson, FNP-C, CRNFA, MSN 21200 S Lagrange Rd, Suite 134, Frankfort, IL 60423-2003 Ph: (708) 256-0816 |
Cynthia Kay Bouffard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20960 S Frankfort Square Rd Ste C, Frankfort, IL 60423 Phone: 815-469-7100 | |
Ese Adiman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20180 S La Grange Rd, Frankfort, IL 60423 Phone: 779-333-7965 | |
Erin Renee Hurley, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10209 W Lincoln Hwy, Frankfort, IL 60423 Phone: 708-998-2979 | |
Mrs. Susan D Thompson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20015 N Lagrange Rd, Frankfort, IL 60423 Phone: 815-649-1910 | |
Mrs. Grace Divina Esmalla, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10209 W Lincoln Hwy, Frankfort, IL 60423 Phone: 708-998-2979 | |
Emmy Roesel, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20960 S Frankfort Square Rd Ste C, Frankfort, IL 60423 Phone: 815-469-7100 | |
Lovelyne A Ngeche, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8115 W Duane Dr, Frankfort, IL 60423 Phone: 424-653-4014 |