Search › Illinois › 208600000X
Carl Johnson, MD
NPI 1467450122 · on the registry since 2005
Practice
- Address
- 6703 W 159th Street
Suite 110
Tinley Park, IL 60477 - Phone
- (708) 331-1122
- Fax
- (708) 331-5987
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois