Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Ruth Johnson, MD

Individual provider Pediatrics Physician · NPI 1427311745

Nicole Ruth Johnson, MD is a Pediatrics Physician in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4440 W 95th St Ste 1200H
Oak Lawn, IL 60453-2600
Phone: (708) 684-5341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Abuse Pediatrics Physician (primary) Taxonomy 2080C0008X · Licence 036-137797 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 125061008 (IL)

Record details

NPI number1427311745
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022

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