MR. WENDELL WALTER JOHNSON NPI 1558449876

NPI Information

MR. Wendell Walter Johnson is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Wendell Walter Johnson NPI is 1558449876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4735 N BEACON
#109
CHICAGO, IL
ZIP 60640
Phone: (773) 293-4575

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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