Search › Illinois › 207X00000X
Randon Johnson, M.D
NPI 1861611816 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1431 N Western Ave
#310
Chicago, IL 60622 - Phone
- (773) 235-1900
- Fax
- (773) 235-2999
- Organisation at this address
- Samuel Castillo
Young H Mok P.C.
Prem N Pahwa Md Sc
Manuel A Franco Sc
Ernesto Cabrera MdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 89
Additional practice sites
- 1626 Tuttle St, Baraboo, WI
- 200 Rowan Blvd, Glassboro, NJ
- 1206 W Sherman Ave Bldg 1, Vineland, NJ
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207X00000X
207X00000X
207X00000X - Licence states on file
- NJ, NE, WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-05
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