Individual
DR. CHRISTOPHER RYAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, DEPARTMENT OF RADIOLOGY, CHICAGO, IL 60637-1447
(773) 702-6161
Mailing address
180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 60527-7594
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036.140315
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2013
Last updated
06/20/2016
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