Individual
DANIEL E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1211 W ROOSEVELT RD, CHICAGO, IL 60608-1413
(312) 733-0147
Mailing address
16359 STONEY BROOK DR, LEMONT, IL 60439-4775
(630) 917-0696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.299511
IL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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