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Individual

DR. DANA COLLIN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE RM 6292, MAYWOOD, IL 60153-3328
(708) 216-5911
Mailing address
2160 S 1ST AVE RM 6292, MAYWOOD, IL 60153-3328
(708) 216-5911

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036143298
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036.143298
IL

Other

Enumeration date
03/24/2014
Last updated
06/01/2020
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