Individual
SAMUEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(920) 209-1270
Mailing address
2209 GARLAND AVE, NASHVILLE, TN 37232-0001
(920) 209-1270
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125.082525
IL
Other
Enumeration date
03/04/2022
Last updated
06/07/2023
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