Organization
RANDON JOHNSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDON JOHNSON M.D. (OWNER)
(312) 622-6086
Entity
Organization
Contact information
Practice address
1431 N WESTERN AVE STE 310, CHICAGO, IL 60622-1774
(773) 235-1900
(773) 235-2999
Mailing address
1431 N WESTERN AVE STE 310, CHICAGO, IL 60622-1774
(773) 235-1900
(773) 235-2999
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.120944
IL
Other
Enumeration date
05/31/2010
Last updated
05/31/2010
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