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Individual
SCOTT JOHNSON
Active
Individual
SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.082659
IL
208M00000X
Hospitalist Physician
Primary
036179360
IL
390200000X
Student in an Organized Health Care Education/Training Program
J52579397121
IL
Other
Enumeration date
04/13/2023
Last updated
09/15/2026
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