Johnson, Stephen Issac
Johnson, Stephen Issac is an individual health care provider with primary practice located at 4901 W 79Th St Suite 10, Burbank IL 60459-1554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Stephen Issac can be contacted via phone (708) 422-7100.Contact Information
Primary practice address
4901 W 79Th St Suite 10
Burbank IL 60459-1554
Phone: (708) 422-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 125052913 | Illinois |
Profile Details
| NPI number | 1912105057 |
|---|---|
| LBN Legal business name | Johnson, Stephen Issac |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | May 7th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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