Carl Winston Johnson II, MD

Surgery Physician · Tinley Park, IL

Individual Active NPI

NPI number 1467450122

Practice location

6703 W 159TH Street
Suite 110
Tinley Park, IL 60477
Phone
(708) 331-1122
Fax
(708) 331-5987

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NPI record

NPI
1467450122
Entity type
Individual (Type 1)
Enumeration date
July 7, 2005
Last updated
September 5, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 36107266 IL

About Dr. Johnson

Carl Winston Johnson II, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 6703 W 159TH Street, Suite 110, Tinley Park, IL 60477. The NPI number 1467450122 was assigned on July 7, 2005 and the record was last updated on September 5, 2018.

Dr. Johnson lists a license in the registry: #36107266 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carl Winston Johnson II, MD?

The NPI number is 1467450122.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (708) 331-1122.

Where is Dr. Johnson located?

6703 W 159TH Street, Suite 110, Tinley Park, IL 60477.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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