Individual
DR. MARK AUGUST JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-3087
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036130838
IL
Other
Enumeration date
06/13/2007
Last updated
06/17/2025
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