Johnson, Timothy Brian

Johnson, Timothy Brian is an sole proprietor health care provider with primary practice located at 9730 S Western Ave Ste 100 , Evergreen Park IL 60805-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Johnson, Timothy Brian can be contacted via phone (708) 425-1907.

Contact Information

Primary practice address
9730 S Western Ave Ste 100 Evergreen Park IL 60805-2853
Phone: (708) 425-1907
Fax: (708) 422-4253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101021965 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-148417 Illinois

Profile Details

NPI number 1982085247
LBN Legal business name Johnson, Timothy Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2015
Last updated May 29th, 2019 - about 7 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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