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Organization

RONALD L JOHNSON

Active
Other names
PIKE COUNTY 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
1073 W WASHINGTON ST, PITTSFIELD, IL 62363-1666
(217) 285-9661
(217) 285-4641
Mailing address
1073 W WASHINGTON ST, PITTSFIELD, IL 62363-1666
(217) 285-9661
(217) 285-4641

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
143946
IL

Other

Enumeration date
07/29/2005
Last updated
08/22/2020
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