SHERETTA THERESE JOHNSON NPI 1619443629

NPI Information

  • NPI: 1619443629
  • Provider Name: SHERETTA THERESE JOHNSON
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 1900 W POLK ST
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 771-3412

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NPI Details

Sheretta Therese Johnson is a case management registered nurse in Chicago, IL. Sheretta Therese Johnson NPI is 1619443629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 W POLK ST
CHICAGO, IL
ZIP 60612-723
Phone: (312) 771-3412

The enumeration date for this NPI number is 10/17/2018 and was last updated on 10/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management041-313270ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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