MS. CHRISTINE JOHNSON (NPI# 1750661112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750661112 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE JOHNSON |
| Credential | APN |
| Practice Address |
8311 Roosevelt Rd Forest Park IL 60130-2529 |
| Mailing Address |
5000 S 5th Ave Hines IL 60141-3030 |
| Practice Telephone | 7087717000 |
| Mailing Telephone | 7082028387 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209008950 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209008950 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | IL5686035 | 01 |
| IL | PAYEE 2 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5000 S 5th Ave, Hines, IL 601413030 | 7082028387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154670 | Christine Louise Johnson | Registered Nurse | 48926 State Route 14, New Waterford, OH 44445-9734 | 2019-10-04 |
| 1063064103 | Christine Lynne Johnson | Counselor | 424 Ketchikan Ave, Fairbanks, AK 99701-3737 | 2019-07-09 |
| 1437717055 | Christine Marie Johnson | Physical Therapist | 36 Forest St, Reading, MA 01867-1203 | 2019-05-29 |
| 1417322850 | Christine Johnson | Contractor | 1862 S Quintero Way, Aurora, CO 80017-5246 | 2015-12-10 |
| 1326470212 | Christine Johnson | Driver | 5710 Pony Farm Dr, Apt 203, Richmond, VA 23227-4905 | 2013-08-02 |
| 1215370929 | Christine Solveig Johnson | Internal Medicine | 9417 Mesa Dr Ste A, Houston, TX 77028-1253 | 2013-04-11 |
| 1174881254 | Christine Riselay Johnson | Massage Therapist | 205 W State Road 434, Suite C, Winter Springs, FL 32708-5329 | 2012-04-26 |
| 1205112711 | Christine Anne Johnson | Marriage & Family Therapist | 271 N Dallas Ave, Suite C, Van Alstyne, TX 75495-4383 | 2011-10-28 |
| 1649596263 | Christine Johnson | Counselor | 5755 Edmund Hwy, Lexington, SC 29073-9581 | 2010-04-08 |
| 1174776249 | Christine Lani Johnson | Social Worker | 8949 Reseda Blvd Ste 221, Northridge, CA 91324-5813 | 2008-11-03 |
| Street Address |
8311 ROOSEVELT RD |
| City | FOREST PARK |
| State | IL |
| Zip Code | 60130-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457337735 | Sheila Casteel | Behavioral Analyst | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2005-12-19 |
| 1831702984 | Bailey Katz | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2020-08-28 |
| 1932726569 | Kristen Mccourt | Nurse Practitioner | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2020-06-30 |
| 1376183293 | Jessica Huerta | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2020-01-08 |
| 1801436969 | Annie Merab Arnold | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2020-01-07 |
| 1073151718 | Sarah Martinez | Social Worker | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-12-12 |
| 1396386686 | Kate Naudin | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-10-08 |
| 1366094799 | Cara E. Paden | Music Therapist | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-07-16 |
| 1730641135 | Erin Mckenney | Psychologist | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-04-03 |
| 1922567908 | Bridget Springmire | Psychologist | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1639733959 | Pop Pediatric Therapy Services, LLC | Occupational Therapy Assistant | Pop Pediatric Therapy, 7421 Madison Ave., Forest Park, IL 60130 | 2019-04-23 |
| 1194261776 | Emeryle D Ladd | Driver | 1117 S. Harlem, Unit 1, Forest Park, IL 60130 | 2017-01-06 |
| 1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
| 1033479712 | Debra L Jensen | Acupuncturist | 7314 W. Madison, Forest Park, IL 60130 | 2012-05-29 |
| 1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
| 1174857262 | Anwar Adams | Physical Therapy Assistant | 1029 Des Plaines Ave Apt 601, Forest Park, IL 60130 | 2009-09-23 |
| 1992939318 | Family Health Solutions,pc | Chiropractor | 315 Des Plaines Ave., Suite 307, Forest Park, IL 60130 | 2009-05-13 |
| 1235386681 | Arnold Clevs | Dentist | 334 Circle Ave, Forest Park, IL 60130 | 2008-08-27 |
| 1932376167 | Dianella V Dizon-menezes | Psychiatry & Neurology | 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130 | 2008-05-16 |
| Find all providers in zip 60130 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073627196 | Dawn T Bounds | Nurse Practitioner | 8311 W. Roosevelt Road, Forest Park, IL 60130 | 2006-08-18 |
| 1932726569 | Kristen Mccourt | Nurse Practitioner | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2020-06-30 |
| 1366982860 | Kathleen Beth Mcgreal | Nurse Practitioner | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2017-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
| 1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
| 1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
| 1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 60130 |
Please comment or provide details below to improve the information on MS. CHRISTINE JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.