DERICK JOHNSON

CHICAGO, IL
NPI1154903920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.022844)
Enumeration Date2021-04-22
Last Update Date2021-04-22
Business Address
Mr. DERICK JOHNSON APRN
9900 S PERRY AVE
CHICAGO, IL 60628-1348
Phone number: 312-545-3187
Mailing Address
Mr. DERICK JOHNSON APRN
9900 S PERRY AVE
CHICAGO, IL 60628-1348
Phone number: 312-545-3187
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