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:
Health care specialties
| Specialty | Code | License # | 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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