Individual
DR. WHITNEY DIEDRICH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 5068, CHICAGO, IL 60637-1447
(773) 702-9500
Mailing address
5841 S MARYLAND AVE, MC 5068, CHICAGO, IL 60637-1447
(773) 702-9500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125-059227
IL
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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