Individual
TIMOTHY BRIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9730 S WESTERN AVE STE 100, EVERGREEN PARK, IL 60805-2853
(708) 425-1907
(708) 422-4253
Mailing address
9730 S WESTERN AVE STE 100, EVERGREEN PARK, IL 60805-2853
(708) 425-1907
(708) 422-4253
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-148417
IL
207V00000X
Obstetrics & Gynecology Physician
5101021965
MI
207V00000X
Obstetrics & Gynecology Physician
EMC0006076
MI
Other
Enumeration date
06/12/2015
Last updated
01/08/2025
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