Individual provider · Type 1 NPI
Marcus Wayne Johnson, DC
Chiropractor · Highland Park, IL
NPI number
1013090661
Active
Practice location
1780 Green Bay Rd.
Highland Park, IL 60035
Fax (847) 681-8940
Mailing address
5101 Washington St Ste 13
Gurnee, IL 60031-2988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH9181 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1013090661
Marcus Wayne Johnson, DC's National Provider Identifier is 1013090661, issued on Oct 24, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Highland Park, IL. The record was last updated on Jun 9, 2016.