Individual
DR. BENJAMIN E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2740 W FOSTER AVE STE 213, CHICAGO, IL 60625-3532
(773) 293-4001
(773) 293-3203
Mailing address
2740 W FOSTER AVE STE 213, CHICAGO, IL 60625-3532
(773) 293-4001
(773) 293-3203
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036149861
IL
Other
Enumeration date
06/26/2013
Last updated
04/08/2021
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