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Organization
DONNA L JOHNSON MD SC
Active
Organization
DONNA L JOHNSON MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA JOHNSON MD (PHYSICIAN)
(773) 493-7041
Entity
Organization
Contact information
Practice address
7257 S JEFFERY BLVD, CHICAGO, IL 60649-3014
(773) 493-7040
(773) 493-8837
Mailing address
7257 S JEFFERY BLVD, CHICAGO, IL 60649-3014
(773) 493-7040
(773) 493-8837
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036055866
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055856
—
IL
01
—
180030052
RAILROAD MEDICARE
IL
01
—
21608627
BCBS
IL
Enumeration date
12/06/2007
Last updated
03/28/2008
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