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NPI Code Detail

MEDICARE: BRIANNA JOHNSON LSW

MEDICARE:   BRIANNA  JOHNSON  LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150.114228IL

General Provider Information

NPI Number : 1275368342
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA JOHNSON LSW
Provider Business Mailing Address
First Line : 2060 E ALGONQUIN RD STE 702
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60173-4162
Country : US
Telephone Number : 847-701-4191
Fax Number : 847-834-4981
Provider Business Practice Location Address
First Line : 3115 N WILKE RD STE A
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1451
Country : US
Telephone Number : 847-701-4191
Fax Number : 847-834-4981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2024
Last Update Date : 09/06/2024

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Directions to “ BRIANNA JOHNSON LSW” Practice Location

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