Individual
ANITA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-2808
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001940
IL
231H00000X
Audiologist
LD00001206
WA
Other
Enumeration date
02/22/2006
Last updated
12/15/2023
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