Mrs Ebony Talise Johnson, BSN-RN - Home Infusion in Chicago, IL

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Mrs Ebony Talise Johnson, BSN-RN is a Home Infusion based in Chicago, Illinois. Mrs Ebony Talise Johnson is licensed to practice in Illinois (license number 041418831) and her current practice location is 1216 West 97th Place, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at (708) 543-0632.

NPI number for Mrs Ebony Talise Johnson is 1922813401 and her current mailing address is 1216 W 97th Pl, Chicago, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922813401.

Contact Information

Mrs Ebony Talise Johnson, BSN-RN
1216 West 97th Place,
Chicago, IL 60643
(708) 543-0632
Not Available

Map and Direction




Provider's Profile

Full NameMrs Ebony Talise Johnson
GenderFemale
SpecialityHome Infusion
Location1216 West 97th Place, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922813401
  • Provider Enumeration Date: 02/11/2025
  • Last Update Date: 02/11/2025

Medical Identifiers

Medical identifiers for Mrs Ebony Talise Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922813401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WS0200XRegistered Nurse - School 041418831 (Illinois)Secondary
251F00000XHome Infusion 28293616A (Indiana)Secondary
261QI0500XClinic/center - Infusion Therapy 041418831 (Illinois)Secondary
251F00000XHome Infusion 041418831 (Illinois)Primary
163WC1600XRegistered Nurse - Continuing Education/staff Development 041418831 (Illinois)Secondary
163WI0500XRegistered Nurse - Infusion Therapy 28293616A (Indiana)Secondary
163WI0500XRegistered Nurse - Infusion Therapy 041418831 (Illinois)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ebony Talise Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Ebony Talise Johnson, BSN-RN
1216 W 97th Pl,
Chicago, IL 60643-1420

Ph: (708) 543-0632		Mrs Ebony Talise Johnson, BSN-RN
1216 West 97th Place,
Chicago, IL 60643

Ph: (708) 543-0632

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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