IndividualActive
Brett Johnson, MD
NPI 1235703455 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1235703455
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2555 N Clark St Apt 1409
Chicago, IL 60614-1757
Phone: (214) 820-2361
Approximate (ZIP-level) locationGet directions
Mailing address
2555 N Clark St Apt 1409
Chicago, IL 60614-1757
Registry dates
- Enumerated
- 2021-05-13
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.