Carl C. Johnson MD

NPI 1043398852 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1043398852
Gender Male
Enumeration Date 11/01/2006
Last Updated 11/16/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1 ERIE CT
SUITE 6040
OAK PARK IL, 60302-2566, US
Phone (708) 386-1301
Fax (708) 386-3053
Business Location
1 ERIE CT
SUITE 6040
OAK PARK IL, 60302-2566, US
Phone (708) 386-1301
Fax
Toxanomy
Taxonomy Code 207V00000X
License State California
License Number A38603
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According to our database, Carl C. Johnson MD NPI is 1043398852, taxonomy code is 207V00000X and license number is A38603, license state is located at California. Carl C. Johnson MD physically located at 1 Erie Ct, Oak Park IL, 60302-2566. NPI Number Carl C. Johnson MD has the Individual type.

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1043398852 NPI number is provided on an as is basis without warranty of any kind. 1043398852 is maintained by the National Plan & Provider Enumeration System. The contents of Carl C. Johnson MD are for informational purposes only.