IndividualActive
Theodore Johnson, D.C.
NPI 1194703751 · Internist Chiropractor · Lombard, IL
Provider details
- NPI number
- 1194703751
- Entity type
- Individual
- Primary specialty
- Internist ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 0038006656 (IL)
Specialties & taxonomies
Chiropractic Providers
Practice location
200 E Roosevelt Rd
Lombard, IL 60148-4539
Phone: (630) 889-6513
Fax: (630) 889-6800
Approximate (ZIP-level) locationGet directions
Mailing address
200 E Roosevelt Rd
Lombard, IL 60148-4539
Registry dates
- Enumerated
- 2006-01-04
- Last updated
- 2016-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.