PMJ Precision Network, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

336.093856 Issued in IL

Legal business name

PMJ PRECISION NETWORK, INC

Practice address

18617 Loras CT
Country Club Hills, IL 60478-5289

Phone

(773) 354-1659

NPI assigned

Oct 19, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pierre Johnson, M.D.

Title

Ceo

Phone

(773) 354-1659

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1033620851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18617 LORAS CT",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785289",
            "telephone_number": "773-354-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18617 LORAS CT",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785289",
            "telephone_number": "773-354-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMJ PRECISION NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-354-1659",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "336.093856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.