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Contact Information

THEODORE L JOHNSON, D.C.
200 E ROOSEVELT RD
LOMBARD, IL60148-4539
 Phone: 630-889-6513
 Fax: 630-889-6800
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for THEODORE L JOHNSON · (Male)

NPI Number 1194703751
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 01/04/2006
Last updated 04/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 0038006656
  • IL Other 0038006656 PROFESSIONAL LICENCE NUMB
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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