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Dr. Johnson Mao, MD
Specialist in Chicago, Illinois
NPI 1538107321

Johnson Mao is a Specialist based in Chicago, IL. Johnson Mao practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Johnson Mao is 1538107321 and holds a License No. 36050106 (Illinois).

The current practice location address for Johnson Mao is 2506 N Clark St, Chicago, IL and can be reached out via phone at 312-842-8210 and via fax at 312-842-8281.

Location: 2506 N Clark St, Chicago, IL, 60616-2857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538107321
Provider Name
Johnson Mao
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2506 N Clark St, Chicago, IL, 60616-2857
Phone Number
312-842-8210
Fax Number
312-842-8281
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2506 N Clark St
City
Chicago
State
Illinois
Zip
60614-1848
Phone Number
312-842-8210
Fax Number
312-842-8281
person
Provider Business Mailing Address Details
Address
2506 N Clark St
City
Chicago
State
Illinois
Zip
60614-1848
Phone Number
312-842-8210
Fax Number
312-842-8281
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
36050106 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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