MRS. BERNICE IK-JANG MI JOHNSON (NPI# 1831110279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831110279 |
| Entity Type | Individual |
| Full Name | MRS. BERNICE IK-JANG MI JOHNSON |
| Other Name | MRS. BERNICE IK-JANG MI JOHNSON |
| Credential | PHYISICAN ASSISTANT |
| Practice Address |
7300 W College Dr 1nw Palos Heights IL 60463-1152 |
| Practice Telephone | 7086711374 |
| Practice Fax Number | 7086711378 |
| Mailing Telephone | 7086711374 |
| Mailing Fax Number | 7086711378 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085-001948 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093904203 | Bernice A Johnson | Chiropractor | 605 E Central Ave, Winter Haven, FL 33880-3056 | 2007-10-24 |
| 1063625796 | Bernice Davis Johnson | Registered Nurse | First Avenue and Logan Street, Williamson, WV 25661 | 2007-05-08 |
| Street Address |
7300 W COLLEGE DR 1NW |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891786067 | Eugene Mandrea | Dermatology | 7300 W College Dr, Suite 1nw, Palos Heights, IL 60463-1152 | 2005-11-04 |
| 1669834701 | Jamie Gilmartin | Counselor | 7300 W College Dr, # 203, Palos Heights, IL 60463-1152 | 2016-03-28 |
| 1508269549 | Sarah Sheets | Counselor | 7300 W College Dr, Palos Heights, IL 60463-1152 | 2014-10-05 |
| 1336482066 | Carolyn A Necas | Counselor | 7300 W College Dr, #203, Palos Heights, IL 60463-1152 | 2013-04-01 |
| 1215286943 | Kyle Thomas Cosentino | Counselor | 7300 W College Dr, #203, Palos Heights, IL 60463-1152 | 2012-09-10 |
| 1811271323 | Sarah Elizabeth Hoch | Physician Assistant | 7300 W College Dr, Ste. 1nw, Palos Heights, IL 60463-1152 | 2011-10-03 |
| 1710217930 | Sheri Lynn Paul | Nurse Practitioner | 7300 W College Dr, Suite 205, Palos Heights, IL 60463-1152 | 2010-01-11 |
| 1952550451 | Psychological Associates | Psychologist | 7300 W College Dr, Suite 205, Palos Heights, IL 60463-1152 | 2008-09-09 |
| 1922287564 | Melissa Lynn Lambert | Physician Assistant | 7300 W College Dr, Suite 1nw, Palos Heights, IL 60463-1152 | 2007-10-31 |
| 1922130301 | Kathryn A Janiga | Counselor | 7300 W College Dr, Suite 203, Palos Heights, IL 60463-1152 | 2007-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811918006 | Kathleen Deans | Physician Assistant | 17 Sorrento Dr, Palos Heights, IL 60463-1752 | 2006-07-22 |
| 1043765258 | Justine Vogel | Physician Assistant | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2016-08-17 |
| 1811271323 | Sarah Elizabeth Hoch | Physician Assistant | 7300 W College Dr, Ste. 1nw, Palos Heights, IL 60463-1152 | 2011-10-03 |
| 1922287564 | Melissa Lynn Lambert | Physician Assistant | 7300 W College Dr, Suite 1nw, Palos Heights, IL 60463-1152 | 2007-10-31 |
| 1295749380 | Nicole Denee Joy | Physician Assistant | 7808 W College Dr, Suite 1sw, Palos Heights, IL 60463-1027 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on MRS. BERNICE IK-JANG MI 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.