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 Date2025-09-23
Business Address
Mr. DERICK JOHNSON APRN
8543 S STONY ISLAND AVE STE 3
CHICAGO, IL 60617-2249
Phone number: 312-380-9808
Mailing Address
Mr. DERICK JOHNSON APRN
11713 S MAPLEWOOD AVE
CHICAGO, IL 60655-1524
Phone number: 312-380-9808
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