Alice Johnson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209024809 Issued in IL

Practice address

21 W Millers Rd
Des Plaines, IL 60016-2844

Phone

(847) 693-1836

NPI assigned

Feb 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aziz Family Medical Center, Inc

  • Family Medicine Physician
  • Villa Park, IL
  • NPI 1952549586
  NPD (past)
• Aziz Medical Associates Inc

  • Family Medicine Physician
  • Villa Park, IL
  • NPI 1033786462
  NPD (past)

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1124773833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W MILLERS RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162844",
            "telephone_number": "847-693-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W MILLERS RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162844",
            "telephone_number": "847-693-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209024809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Ann Jerkowski
• Mariola Jezierczak
• JHC Acquisition LLC (Omnicare of Northern Illinois #48241)
• JNN Internal Medicine, SC
• Joan Kim MD LLC
• Brandy Johnson
• Mark Johnson, PHARMACIST
• Peter Eric Johnson, M.D.
• Minnu Johny
• Janice Jones-Payne

• Family Nurse Practitioner in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.