Individual
LARS JOHANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611-4494
(312) 503-7975
Mailing address
420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611-4494
(312) 503-7975
(312) 503-5230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036165458
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036165458
IL
207RP1001X
Pulmonary Disease Physician
Primary
036165458
IL
Other
Enumeration date
06/20/2018
Last updated
07/08/2023
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