Individual
DR. MATTHEW TODD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
344 VICTORY DR, PARK FOREST, IL 60466-2003
(708) 481-0100
Mailing address
111 ACACIA DR, UNIT 515, INDIAN HEAD PARK, IL 60525-4404
(708) 481-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036099289
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634105
BLUE CROSS PROVIDER #
IL
05
—
036099289
—
IL
Enumeration date
11/15/2007
Last updated
05/04/2018
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