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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY BRIAN JOHNSON, D.O.

Active Sole Proprietor

TIMOTHY BRIAN JOHNSON, D.O. is a Obstetrics & Gynecology healthcare provider located in EVERGREEN PARK, Illinois. NPI 1982085247 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · EVERGREEN PARK, IL

Registration Details

NPI Number
1982085247
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2015 (11.151875717189 yrs)
Last Updated
Jan 8, 2025
Licenses
EMC0006076 (MI)
5101021965 (MI)
036-148417 (IL)
Sole Proprietor
Yes

Practice Information

Address
9730 S WESTERN AVE STE 100
EVERGREEN PARK, IL, 608052853
Browse IL providers · Browse ZIP 60805
Phone
7084251907
Fax
7084224253
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in EVERGREEN PARK, IL

Name Credential NPI
DR. ANITA IYER M.D. 1174515035
ROBERT M BONAMINIO D.O. 1427001486
EMUATA UFOK BASSEY M.D. 1487745915
DR. STEVEN ROBERT DAUBE DO 1427144310
JESSICA L BENDER D.O. 1306156500
ANNIE LIN MD 1760062129
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.