Organization
BC ILLINOIS EMERGENCY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M JOHNSON M.D. (LLP MANAGING PARTNER)
(800) 235-5358
Entity
Organization
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7311
(618) 463-7850
Mailing address
75 REMIT DRIVE, SUITE 1876, CHICAGO, IL 60675-1876
(800) 701-3381
(239) 939-1682
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
—
504899402
—
MO
Enumeration date
07/13/2006
Last updated
01/28/2010
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