Individual
DR. BRETT ALLAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2555 N CLARK ST APT 1409, CHICAGO, IL 60614-1757
(214) 820-2361
Mailing address
2555 N CLARK ST APT 1409, CHICAGO, IL 60614-1757
(214) 385-0777
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036169152
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2021
Last updated
06/03/2024
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