Jamilah Johnson

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

209.013642 Issued in IL

Practice address

40 75TH St
Willowbrook, IL 60527-2325

Phone

(630) 581-5372

NPI assigned

Dec 9, 2015

Last updated

Sep 9, 2021By the provider in NPPES

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senf NP Family Medicine PLLCGroup PAC ID 0648637991, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Senf NP Family Medicine PLLC

  • Surgery Physician
  • Schaumburg, IL
  • NPI 1821702432
  Medicare reassignment Care Compare group NPD
• Integra Medical Doctors Inc

  • Specialist
  • Hoffman Estates, IL
  • NPI 1700189677
  Medicare reassignment NPD
• New Southtown Medical Group S C

  • Family Medicine Physician
  • Darien, IL
  • NPI 1134508997
  Medicare reassignment NPD
• Oak Street Health Physicians Group, PC

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1083051643

  Family

  Medicare reassignment NPD
• Trio Health Medical Il NP Partners PLLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1497637011
  Medicare reassignment
• Dispatchhealth-Arizona

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1588237903
  NPD
• Dispatchhealth-Arizona

  • Emergency Medicine Physician
  • Columbia, MD
  • NPI 1811765449
  NPD

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1154796605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6430 S Stony Island Ave",
            "address_2": "apt 912",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606373876",
            "country_code": "US",
            "telephone_number": "773-960-7539 x96075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMILAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.013642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanie C. Lucy PC
• Jessie Cheung Dermatology, SC
• Qiying Jiang, LIC AC
• James T John, M.D.
• Daniel Johnson, D.C.
• Pamela J Johnson, D.D.S
• Wayne Allen Jones, LCPC, MA
• Kiran P Joshi, MD
• K & K Physical Therapy LLC (Elite Physical Therapy Clinic)
• Reda Karaliukas, D.C.

• Primary Care Nurse Practitioner in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.