Organization
RONALD L JOHNSON
Active
Other names
WINCHESTER FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L JOHNSON MD (OWNER/PHYSICIAN)
(217) 285-9661
Entity
Organization
Contact information
Practice address
231 W CHERRY ST, WINCHESTER, IL 62694-1027
(217) 742-3117
(217) 742-3988
Mailing address
231 W CHERRY ST, WINCHESTER, IL 62694-1027
(217) 742-3117
(217) 742-3988
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
148919
IL
Other
Enumeration date
07/29/2005
Last updated
08/22/2020
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