Whalio Doctors

NPI 1003518341

Samuel Johnson, DO

Practitioner Anesthesiology Physician Chicago, IL

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
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 125.083250 (IL)

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.