Individual
DR. MATTHEW JOSEPH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2090 LARKIN AVE, ELGIN, IL 60123-5845
(847) 931-9212
(847) 222-7852
Mailing address
2090 LARKIN AVE, ELGIN, IL 60123-5845
(847) 931-9212
(847) 222-7852
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016 004881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001623386
BLUE CROSS AND BLUE SHIEL
IL
01
—
0005115612
AETNA
IL
01
—
0210272
CIGNA
IL
01
—
C 518820
UNITED AMERICAN INSURANCE
IL
Enumeration date
03/07/2007
Last updated
12/30/2015
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