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Individual

DR. ASHIRA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7230 W NORTH AVE, SUITE 106B, ELMWOOD PARK, IL 60707-4261
(708) 453-3000
Mailing address
247 TAYLOR CT, BUFFALO GROVE, IL 60089-4604
(847) 383-5315

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036111927
IL
207R00000X
Internal Medicine Physician
ME59614
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036111927
IL
01
1619414
BCBS GROUP
Enumeration date
07/31/2007
Last updated
11/23/2009
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