Individual provider · Type 1 NPI

Dominique Latrice Johnson, DO

Family Medicine Physician · Chicago, IL

NPI number 1386218147 Active

Practice location

901 E 95th St
Chicago, IL 60619-7861

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X5151015221 (MI)
Family Medicine Physician Primary 207Q00000X036-171797 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1386218147

Dominique Latrice Johnson, DO's National Provider Identifier is 1386218147, issued on May 17, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 12, 2024.