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1194703751
THEODORE LAWRENCE JOHNSON
LOMBARD, IL
NPI
1194703751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NI0900X Chiropractor, Internist
(Licence: IL 0038006656)
Enumeration Date
2006-01-04
Last Update Date
2016-04-29
Business Address
Dr. THEODORE LAWRENCE JOHNSON D.C.
200 E ROOSEVELT RD
LOMBARD, IL 60148-4539
Phone number: 630-889-6513
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Mailing Address
Dr. THEODORE LAWRENCE JOHNSON D.C.
200 E ROOSEVELT RD
LOMBARD, IL 60148-4539
Phone number: 630-889-6513
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