Stephen Issac Johnson, MD

NPI #1912105057 in Burbank, Illinois

Provider Information

NPI Number: 1912105057
Entity Type: Individual
Name: Stephen Issac Johnson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 10, 2007
Last Updated: May 7, 2015

Practice Location

Address: 4901 W 79TH ST
Address 2: SUITE 10
City: Burbank
State: Illinois
ZIP Code: 60459-1554
Phone: (708) 422-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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