Individual
DR. EVAN DEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3310 W. MAIN STREET, SUITE 115, ST. CHARLES, IL 60175-4220
(630) 232-2885
(630) 232-9936
Mailing address
3310 W. MAIN STREET, SUITE 115, ST. CHARLES, IL 60175-4220
(630) 232-2885
(630) 232-9936
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.121856
IL
Other
Enumeration date
09/17/2008
Last updated
04/03/2017
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