Individual
RANDON CHARLES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1431 N WESTERN AVE, #310, CHICAGO, IL 60622-1797
(773) 235-1900
(773) 235-2999
Mailing address
365 N JEFFERSON ST APT 3505, CHICAGO, IL 60661-1600
(312) 622-6086
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.120944
IL
207X00000X
Orthopaedic Surgery Physician
24126
NE
207X00000X
Orthopaedic Surgery Physician
25IA12837800
NJ
207X00000X
Orthopaedic Surgery Physician
2935
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861611816
—
WI
Enumeration date
04/25/2007
Last updated
12/05/2025
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