Individual
DR. COLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-4846
Mailing address
1904 GREEN BAY RD APT C, HIGHLAND PARK, IL 60035-3140
(417) 841-7585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024019159
MO
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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