Individual
DANIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 W 95TH ST STE 1200H, OAK LAWN, IL 60453-2654
(708) 684-5463
Mailing address
150 HARVESTER DR, SUITE 300, BURR RIDGE, IL 60527-5919
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
036073529
IL
Other
Enumeration date
08/30/2005
Last updated
02/02/2024
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