Organization
CHARLES B JOHNSTON MD PC
Active
Other names
Private Practice of River Forest
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES B JOHNSTON M.D. (PRESIDENT)
(708) 681-7905
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, SUITE 202, MELROSE PARK, IL 60160-1634
(708) 681-7905
(708) 460-1117
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 460-9833
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036078749
IL
208000000X
Pediatrics Physician
036078749
IL
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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