Dr. Theodore Johnson , MD
General Practice • Great Lakes, IL
Professional Overview & Biography Verified Profile Summary
Dr. Theodore Johnson, MD is a registered healthcare professional specializing in General Practice in Great Lakes, IL. Practice services are available at 3410 ILLINOIS ST under active NPI credentials.
Practice Location & Contact Primary Location
3410 Illinois St
Great Lakes, IL 600883120
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Great Lakes, IL
Practicing in Great Lakes, IL (355 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-07-09NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 171000000X
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Physical Therapy Assistant
Physical Therapist Assistant
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Specialist/Technologist, Other
Physical Therapy Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 3410 ILLINOIS ST, GREAT LAKES, IL 600883120 (Tel: 2246108553)
Registered at 220 HOVEY RD, PENSACOLA, FL 325081044 (Tel: 7033958196)
Registered at 220 HOVEY RD, PENSACOLA, FL 325081044
Recorded as THEODORE JOHNSON, MD
Military Health Care Provider (License #0101279593 in VA)
NPI status registered as active in NPPES database
Registered at 9040 JACKSON AVE, TACOMA, WA 984310001 (Tel: 2539680117)
Registered at 9040 JACKSON AVE, TACOMA, WA 984310001 (Tel: 2539680117)
Recorded as THEODORE JOHNSON
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
220 Hovey Rd
Pensacola, FL 325081044
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.