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Individual
DR. MATTHEW JOSEPH JOHNSON
Active
Individual
DR. MATTHEW JOSEPH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016 004881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001623386
BLUE CROSS AND BLUE SHIEL
IL
01
—
0005115612
AETNA
IL
01
—
0210272
CIGNA
IL
01
—
C 518820
UNITED AMERICAN INSURANCE
IL
Enumeration date
03/07/2007
Last updated
12/30/2015
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