IndividualActive
Nicole Johnson, M.D.
NPI 1427311745 · Child Abuse Pediatrics Physician · Oak Lawn, IL
Provider details
- NPI number
- 1427311745
- Entity type
- Individual
- Primary specialty
- Child Abuse Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 125061008 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4440 W 95th St Ste 1200h
Oak Lawn, IL 60453-2600
Phone: (708) 684-5341
Approximate (ZIP-level) locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2022-04-25
- Certified
- 2022-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.