Search › Illinois › 207V00000X
Timothy Johnson, D.O
NPI 1982085247 · on the registry since 2015 · sole proprietor
Practice
- Address
- 9730 S Western Ave Ste 100
Evergreen Park, IL 60805 - Phone
- (708) 425-1907
- Fax
- (708) 422-4253
- Organisation at this address
- Nova Medico Sc
Valentin Berman Md Pc
Ari Financial Services
Psychotherapy Center Inc
National Medical Care Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 46
Additional practice sites
- 11885 E 12 Mile Rd Ste 202a, Warren, MI
- 10260 191st St Ste 100, Mokena, IL
- 601 John St Ste N1200, Kalamazoo, MI
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
207V00000X - Licence states on file
- MI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois