Doctor Name: | CARL C. JOHNSON |
NPI Number: | 1043398852 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A38603 |
Business Practice Address: | 1 Erie Ct Suite 6040 Oak Park, IL - 603022566 |
Business Phone Number: | 7083861301 |
Business Fax Number: | 7083863053 |
Mailing Address: | 1 Erie Ct, Suite 6040 OAK PARK |
State: | IL |
Postal Code: | 603022566 |
Phone Number: | 7083861301 |
Fax Number: | 7083863053 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | A38603 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |