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Mr. Wendell Walter Johnson
Specialist in Chicago, Illinois
NPI 1558449876

Wendell Walter Johnson is a Specialist based in Calumet Park, IL. Wendell Walter Johnson practices in Chicago, IL. The NPI Number for Wendell Walter Johnson is 1558449876 and holds a License No. (Illinois).

The current practice location address for Wendell Walter Johnson is 4735 N Beacon, Chicago, IL and can be reached out via phone at 773-293-4575.

Location: 4735 N Beacon, Chicago, IL, 60827-6111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558449876
Provider Name
Wendell Walter Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4735 N Beacon, Chicago, IL, 60827-6111
Phone Number
773-293-4575
Fax Number
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4735 N Beacon
City
Chicago
State
Illinois
Zip
60640
Phone Number
773-293-4575
Fax Number
person
Provider Business Mailing Address Details
Address
4735 N Beacon
City
Chicago
State
Illinois
Zip
60640
Phone Number
773-293-4575
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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