Individual
TODD DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST STE 1128M, OAK LAWN, IL 60453-2600
(312) 609-0300
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.167145
IL
208M00000X
Hospitalist Physician
Primary
036.167145
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2020
Last updated
11/08/2024
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