Individual
CODY STEPHEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 516-4330
Mailing address
16 LEDGEN WOOD RD, NORTH STONINGTON, CT 06359-1003
(860) 501-4736
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
018.012557
IL
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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