| Theodore Johnson, MD | |
|
3410 Illinois St, Great Lakes, IL 60088-3120 | |
| (224) 610-8553 | |
| Not Available |
| Full Name | Theodore Johnson |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 3410 Illinois St, Great Lakes, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609523240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0101279593 (Virginia) | Primary |
| 171000000X | Military Health Care Provider | 0101279593 (Virginia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Johnson, MD 220 Hovey Rd, Pensacola, FL 32508-1044 Ph: Not Available | Theodore Johnson, MD 3410 Illinois St, Great Lakes, IL 60088-3120 Ph: (224) 610-8553 |
Karen Leone, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3001 6th St, Suite A, Great Lakes, IL 60088 Phone: 847-688-2755 |
Dr. Richard Alan Strnad, DO10 General Practice Medicare: Not Enrolled in Medicare Practice Location: 2410 Sampson St, Great Lakes, IL 60088 Phone: 847-688-5556 Fax: 847-688-2512 |
Dr. Deborah Jeanne Galen, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2410 Sampson St, Fisher Clinic, Bldg 237, Great Lakes, IL 60088 Phone: 847-688-5556 Fax: 847-688-2512 |
Dr. Nemesia Figueras Artates, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3420 Illinois St, Great Lakes, IL 60088 Phone: 847-688-6755 Fax: 847-688-2751 |