Individual
DR. MICHAEL JAMES LISTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GORE RD, MORRIS, IL 60450-9466
(815) 364-8919
(815) 942-4913
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 705-5605
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.129326
IL
Other
Enumeration date
08/28/2009
Last updated
10/23/2018
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