Gerald Timothy Johnson M.D.

NPI 1083637615 - Radiology - 2085R0202X

NPI Details
NPI 1083637615
Gender Male
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5101 WILLOW SPRINGS RD
LA GRANGE IL, 60525-2600, US
Phone (708) 352-1200
Fax
Business Location
352 GLENWOOD DR APT 303
BLOOMINGDALE IL, 60108-3253, US
Phone (630) 307-6937
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
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According to our database, Dr. Gerald Timothy Johnson M.D. NPI is 1083637615, taxonomy code is 2085R0202X Gerald Timothy Johnson M.D. physically located at 5101 Willow Springs Rd, La Grange IL, 60525-2600. NPI Number Gerald Timothy Johnson M.D. has the Individual type.

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1083637615 NPI number is provided on an as is basis without warranty of any kind. 1083637615 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Timothy Johnson M.D. are for informational purposes only.