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1003518341
SAMUEL JOHNSON
CHICAGO, IL
NPI
1003518341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 125.083250)
Enumeration Date
2023-03-20
Last Update Date
2024-06-19
Business Address
SAMUEL JOHNSON DO
600 S PAULINA ST STE 403
CHICAGO, IL 60612-3806
Phone number: 312-942-3134
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Mailing Address
SAMUEL JOHNSON DO
600 S PAULINA ST STE 403
CHICAGO, IL 60612-3806
Phone number: 312-942-3134
Copy
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