Search › Illinois › 1223S0112X
Tyran Johnson, D.D.S
NPI 1770671414 · on the registry since 2006
Practice
- Address
- 9240 Broadway Ave
Brookfield, IL 60513 - Phone
- (708) 680-7017
- Fax
- (708) 419-3537
- Organisation at this address
- Brookfield Oral Surgery, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 105 E 1st St, Hinsdale, IL
- 9240 Broadway Ave, Brookfield, IL
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-23
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