Individual
JOSHUA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 S. KENNEDY, BRADLEY, IL 60915
(815) 928-8050
(800) 505-2218
Mailing address
400 S KENNEDY DR, BRADLEY, IL 60915-2682
(815) 928-8050
(800) 505-2218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003901
IL
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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