Matthew Todd Johnson in Indian Head Park - Family Medicine
Matthew Todd Johnson - NPI 1568643864
Matthew Todd Johnson is a Family Medicine in Indian Head Park, Illinois. Matthew Todd Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Matthew Todd Johnson is 1568643864. The last update date is 2018-05-04.
Matthew Todd Johnson's current location address is 111 Acacia Dr, Indian Head Park, Illinois. You can contact this provider via phone number 7084810100. The mailing address for Matthew Todd Johnson is 111 Acacia Dr, Indian Head Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Todd Johnson |
|---|---|
| Address | 111 Acacia Dr, Indian Head Park, Illinois |
| Phone Number | 7084810100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568643864 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2018-05-04 |
Provider Mailing Address Detail
| Address | 111 Acacia Dr |
|---|---|
| City | Indian Head Park |
| State | Illinois (IL) |
| Post Code | 605254404 |
| Phone Number | 7084810100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36099289 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36099289 | IL | -- | |
| 1634105 | IL | BLUE CROSS PROVIDER # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Matthew Todd Johnson by the Centers for Medicare & Medicaid Services?
The Matthew Todd Johnson has been issued the NPI (National Provider Identifier) 1568643864, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Matthew Todd Johnson is geographically located?
The Matthew Todd Johnson is physically situated at the following location: 111 Acacia Dr, Indian Head Park, IL, 605254404.
What is the Matthew Todd Johnson's specialty and taxonomy code?
The Matthew Todd Johnson's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568643864 to Matthew Todd Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1568643864 to Matthew Todd Johnson on 2007-11-15.
When was the information related to Matthew Todd Johnson most recently updated or refreshed?
The details pertaining to the Matthew Todd Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-05-04.