Ebony Nicole Johnson, MD

NPI #1497847255 in Crestwood, Illinois

Provider Information

NPI Number: 1497847255
Entity Type: Individual
Name: Ebony Nicole Johnson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 29, 2006
Last Updated: Jul 23, 2018

Practice Location

Address: 4742 CAL SAG RD
City: Crestwood
State: Illinois
ZIP Code: 60418
Phone: (708) 915-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Crestwood Associated Medical Center Ltd	Family Medicine	Crestwood	AI Deep Dive
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