Jacob Edward Johnson
Jacob Edward Johnson is a Nurse Practitioner in Park Ridge, Illinois. Qualified in 2024, 2 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 2
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
1775 Dempster StPark Ridge, IL 60068-1143
Phone: (847) 723-2210
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Critical Care Medicine Nurse Practitioner (primary) | Taxonomy 363LC0200X · Licence 209-032261 (IL) |
|---|
Record details
| NPI number | 1750278040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 20, 2025 |
| Last updated in NPPES | October 21, 2025 |
| Certification date | October 21, 2025 |
| Mailing address | 29373 Network Pl, Chicago, IL 60673-1293 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Advocate Health And Hospitals Corporation — 3079 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Park Ridge
-
Lindsay L Gerding, APRN
1775 Dempster St, Park Ridge, IL 60068-1143 · (847) 723-2210
-
Mr. Mohammed Nabeel Hameed, DNP
1775 Dempster St, Park Ridge, IL 60068-1143 · (708) 283-5500
-
Dr. Ashley Rose Ortega, DNP
1775 Dempster St Ste Aip, Park Ridge, IL 60068-1143 · (708) 283-5500