Individual provider · Type 1 NPI

Gerald Timothy Johnson, MD

Diagnostic Radiology Physician · La Grange, IL

NPI number 1083637615 Active

Practice location

5101 Willow Springs Rd
La Grange, IL 60525-2600

Mailing address

352 Glenwood Dr Apt 303
Bloomingdale, IL 60108-3253

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1083637615

Gerald Timothy Johnson, MD's National Provider Identifier is 1083637615, issued on Jul 25, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in La Grange, IL. The record was last updated on Jul 8, 2007.