Organization
ILLIANA EMERGENCY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M JOHNSON M.D. (LLP MANAGING PARTNER)
(800) 253-5358
Entity
Organization
Contact information
Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
(217) 443-1965
Mailing address
75 REMIT DR # 1367, CHICAGO, IL 60675-1367
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200464110A
—
IN
Enumeration date
07/13/2006
Last updated
01/10/2013
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