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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. EBONY TALISE JOHNSON, BSN-RN

Active Sole Proprietor

MRS. EBONY TALISE JOHNSON, BSN-RN is a Home Infusion healthcare provider located in CHICAGO, Illinois. NPI 1922813401 is currently active in the NPPES registry. Verify at CMS.

Home Infusion · CHICAGO, IL

Registration Details

NPI Number
1922813401
Provider Type
Individual
Gender
Female
NPI Issued
Feb 11, 2025 (1.526579480977 yrs)
Last Updated
Feb 11, 2025
Licenses
041418831 (IL)
28293616A (IN)
041418831 (IL)
041418831 (IL)
041418831 (IL)
Sole Proprietor
Yes

Practice Information

Address
1216 WEST 97TH PLACE
CHICAGO, IL, 60643
Browse IL providers · Browse ZIP 60643
Phone
7085430632
Primary Specialty
Home Infusion
251F00000X
Additional Specialty
Home Infusion
Additional Specialty
Infusion Therapy Clinic
Additional Specialty
Home Infusion
Additional Specialty
Continuing Education Nurse
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.