Individual
KEVIN DARNELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5101 WILLOW SPRINGS RD, 2ND FLOOR, LA GRANGE, IL 60525-2600
(708) 245-8900
(708) 245-5604
Mailing address
5101 WILLOW SPRINGS RD, 2ND FLOOR, LA GRANGE, IL 60525-2600
(708) 245-8900
(708) 245-5604
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125065696
IL
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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