Johnson, Stuart Brian

Johnson, Stuart Brian is an individual health care provider with primary practice located at 2160 S 1St Ave 101-1740 Loyola University Medical Center, Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Johnson, Stuart Brian can be contacted via phone (708) 216-3232.

Contact Information

Primary practice address
2160 S 1St Ave 101-1740 Loyola University Medical Center Maywood IL 60153
Phone: (708) 216-3232
Fax: (708) 216-8198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 36087503 Illinois

Profile Details

NPI number 1184601452
LBN Legal business name Johnson, Stuart Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184601452 NPPES
Illinois MEDICAID 36087503

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