Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE RUTH JOHNSON, M.D.
ActiveNICOLE RUTH JOHNSON, M.D. is a 2080C0008X healthcare provider located in OAK LAWN, Illinois. NPI 1427311745 is currently active in the NPPES registry. Verify at CMS.
2080C0008X · OAK LAWN, IL
Registration Details
- NPI Number
- 1427311745
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2012 (14.190094070144 yrs)
- Last Updated
- Apr 25, 2022
- Licenses
-
125061008 (IL)036-137797 (IL)
Practice Information
- Address
-
4440 W 95TH ST STE 1200HOAK LAWN, IL, 604532600Browse IL providers · Browse ZIP 60453
- Phone
- 7086845341
- Primary Specialty
-
2080C0008X
2080C0008X
- Additional Specialty
- 2080C0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.