NPI 1003518341
Samuel Johnson, DO
Practice location
- Address
- 600 S Paulina St STE 403, Chicago, IL 60612-3806
- Phone
- (312) 942-3134
- Fax
- (501) 380-2282
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1003518341
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Mar 2023
- Record last updated
- 19 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.