| Mrs Lisa Annette Johnson, FNP, DNP | |
|
4755 N Kenmore Ave, Chicago, IL 60640-5015 | |
| (773) 989-9868 | |
| Not Available |
| Full Name | Mrs Lisa Annette Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4755 N Kenmore Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477914158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209013768 (Illinois) | Primary |
| Entity Name | Wise Health Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891969903 PECOS PAC ID: 4789743436 Enrollment ID: O20081110000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Annette Johnson, FNP, DNP 14313 S Parnell Ave, Riverdale, IL 60827-2316 Ph: (773) 676-6059 | Mrs Lisa Annette Johnson, FNP, DNP 4755 N Kenmore Ave, Chicago, IL 60640-5015 Ph: (773) 989-9868 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 | |
Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 | |
Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218 | |
Mindy Unrau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 W. Grand Ave Ste. B, Pmb 89496, Chicago, IL 60612 Phone: 708-630-1534 | |
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973 | |
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408 | |
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780 |