Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE JOHNSON, MD
ActiveGeneral Practice · GREAT LAKES, IL
Registration Details
- NPI Number
- 1609523240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2022 (4.1779253256337 yrs)
- Last Updated
- Jul 9, 2025
- Licenses
-
0101279593 (VA)0101279593 (VA)
Practice Information
- Address
-
3410 ILLINOIS STGREAT LAKES, IL, 600883120Browse IL providers · Browse ZIP 60088
- Phone
- 2246108553
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in GREAT LAKES, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DEBORAH JEANNE GALEN | M.D. | 1366431504 |
| DR. NEMESIA FIGUERAS ARTATES | M.D. | 1437110095 |
| DR. RICHARD ALAN STRNAD | DO10 | 1235197385 |
| KAREN LEONE | M.D. | 1013004928 |
| EVAN FUCHS | — | 1134823578 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.