Individual
DR. CARL WINSTON JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6703 W 159TH STREET, SUITE 110, TINLEY PARK, IL 60477
(708) 331-1122
(708) 331-5987
Mailing address
6703 W 159TH STREET, SUITE 110, TINLEY PARK, IL 60477
(708) 331-1122
(708) 331-5987
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36107266
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36107266
—
IL
01
—
363950/L93169
MEDICARE GROUP/PROVIDER
IL
Enumeration date
07/07/2005
Last updated
09/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us