Park Forest Family Practice

LBN: Matthew T. Johnson Md, Pc
Park Forest Family Practice is an health care organization with primary practice located at 344 Victory Dr , Park Forest IL 60466-2003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Matthew T. Johnson Md, Pc can be contacted via phone (708) 481-0100, or through Johnson, Matthew Todd via phone (708) 481-0100.

Contact Information

Primary practice address
344 Victory Dr Park Forest IL 60466-2003
Phone: (708) 481-0100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Matthew Todd Doctor of Medicine (MD)
Phone: (708) 481-0100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1144386202
LBN Legal business name Matthew T. Johnson Md, Pc
DBA Doing business as Park Forest Family Practice
Authorized official Johnson, Matthew Todd Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2006
Last updated Nov 15th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144386202 NPPES
Illinois Other 01634105 BLUE CROSS ID#

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