Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY NICOLE JOHNSON, MD
ActiveEBONY NICOLE JOHNSON, MD is a Family Medicine healthcare provider located in CRESTWOOD, Illinois. NPI 1497847255 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CRESTWOOD, IL
Registration Details
- NPI Number
- 1497847255
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2006 (19.867153597432 yrs)
- Last Updated
- Jul 23, 2018
- License
-
03612077 (IL)
Practice Information
- Address
-
4742 CAL SAG RDCRESTWOOD, IL, 60418Browse IL providers · Browse ZIP 60418
- Phone
- 7089152727
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CRESTWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| THOMAS I JOSEPH | MD | 1770599797 |
| DR. ANTONIO NORIEGA | MD | 1073701850 |
| KAVEH RAHMANI | DO | 1215224779 |
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.