Mr. Wendell Walter Johnson
Mr. Wendell Walter Johnson is a Specialist in Chicago, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
4735 N Beacon #109Chicago, IL 60640
Phone: (773) 293-4575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1558449876 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 2, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 12626 S Elizabeth St, Calumet Park, IL 60827-6111 |
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