Healthcare Provider Details

I. General information

NPI: 1801733779
Provider Name (Legal Business Name): SONIA JOHNSON PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 N GREENWOOD AVE
NILES IL
60714-1408
US

IV. Provider business mailing address

1430 SANDSTONE DR APT 114
WHEELING IL
60090-5923
US

V. Phone/Fax

Practice location:
  • Phone: 847-298-3050
  • Fax:
Mailing address:
  • Phone: 224-204-4063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number77079
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.308407
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: