Individual
DR. JAMES LEROY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA DC
Contact information
Practice address
213 FIRST AVE, ROCK FALLS, IL 61071-1239
(815) 625-3444
(815) 625-6631
Mailing address
213 FIRST AVE, ROCK FALLS, IL 61071-1239
(815) 625-3444
(815) 625-6631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09832021
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/19/2005
Last updated
07/08/2007
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