Individual
DR. JEFFREY T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
0N150 WINFIELD ROAD, WINFIELD, IL 60190
(630) 665-1550
(630) 665-3510
Mailing address
0N150 WINFIELD ROAD, WINFIELD, IL 60190
(630) 665-1550
(630) 665-3510
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036050297
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050297
—
IL
Enumeration date
08/31/2006
Last updated
06/03/2008
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