Johnston, Charles Bradford

Johnston, Charles Bradford is an sole proprietor health care provider with primary practice located at 1102 Chicago Ave , Oak Park IL 60302-1804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Johnston, Charles Bradford can be contacted via phone (708) 948-7772.

Contact Information

Primary practice address
1102 Chicago Ave Oak Park IL 60302-1804
Phone: (708) 948-7772
Fax: (708) 948-7773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036078749 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036078749 Illinois

Profile Details

NPI number 1831288422
LBN Legal business name Johnston, Charles Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Dec 13th, 2010 - about 14 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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