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1912105057
STEPHEN ISSAC JOHNSON
BURBANK, IL
NPI
1912105057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125052913)
Enumeration Date
2007-07-10
Last Update Date
2015-05-07
Business Address
-- STEPHEN ISSAC JOHNSON MD
4901 W 79TH ST SUITE 10
BURBANK, IL 60459-1554
Phone number: 708-422-7100
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Mailing Address
-- STEPHEN ISSAC JOHNSON MD
2800 W 95TH ST BUSINESS DEVELOPMENT, 3N
EVERGREEN PARK, IL 60805-2701
Phone number: 708-229-5420
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