Randon Johnson, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036.120944 Issued in IL

Legal business name

RANDON JOHNSON, LLC

Practice address

1431 N Western Ave Ste 310
Chicago, IL 60622-1774

Phone

(773) 235-1900

Fax

(773) 235-2999

NPI assigned

May 31, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Randon Johnson, M.D.

Title

Owner

Phone

(312) 622-6086

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275264000000",
    "number": "1225357221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221774",
            "telephone_number": "773-235-1900",
            "fax_number": "773-235-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221774",
            "telephone_number": "773-235-1900",
            "fax_number": "773-235-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDON JOHNSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-31",
        "last_updated": "2010-05-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-622-6086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036.120944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.