NPI 1619193109

Benjamin C Johnson, MD

Practitioner Otolaryngology Physician Gurnee, IL

Practice location

Address: 222 S Greenleaf Lake County Head & Neck Specialists Sc Suite 106, Gurnee, IL 60031
Phone: (847) 662-4442
Fax: (847) 662-4446

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 036117490 (IL)

Other Otolaryngology providers in Illinois →

Registry record

NPI: 1619193109
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2007
Record last updated: 28 Dec 2021

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.