Edward Johnson II
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Rosemont, IL
NPI 1003526575 · NPPES record last updated Nov 25, 2022
Key facts
- NPI
- 1003526575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 5600 N River Rd Ste 800
Rosemont, IL 60018-5166 - Phone
- (888) 877-4268
- NPI assigned
- Nov 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
5600 N River Rd Ste 800
Rosemont, IL 60018-5166
Mailing address
3444 Almond Grove Dr
Florence, SC 29501-8197
Other providers in Rosemont, IL
- Integrity Care 2014, LLC
- Integrity Care 2014, LLC
- Darcy Ituarte
- Itxm Diagnostics Inc
- Jilani Medical
- Lauren N. Juraszek
- Bhanu Kapoor
- Jillene Michelle Kogan
- Kirsten Kohnke
- Gregory S Kovak
All providers in Rosemont, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.