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Individual

DR. CHAD R. JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
916 N WASHINGTON ST, DU QUOIN, IL 62832-1200
(618) 542-2146
Mailing address
900 N WASHINGTON ST, DU QUOIN, IL 62832-1233
(618) 542-2146
(618) 542-4756

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036119004
IL
207R00000X
Internal Medicine Physician
A95435
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
0058849
CO

Other

Enumeration date
11/08/2006
Last updated
12/02/2025
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