Individual
DR. BENJAMIN R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PARKWAY 739 JELKE DEPT ANESTHESIA, CHICAGO, IL 60612-0000
(312) 942-3138
Mailing address
1653 W CONGRESS PARKWAY 739 JELKE DEPT ANESTHESIA, CHICAGO, IL 60612-0000
(312) 942-3138
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036150075
IL
207R00000X
Internal Medicine Physician
125065871
IL
Other
Enumeration date
03/26/2014
Last updated
11/04/2019
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