Organization
CENTRAL ILLINOIS EMERGENCY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M JOHNSON M.D. (LLP MANAGING PARTNER)
(800) 253-5358
Entity
Organization
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-0001
(217) 544-6464
(217) 535-3989
Mailing address
75 REMIT DRIVE, SUITE 1374, CHICAGO, IL 60675-1374
(800) 701-3381
(239) 939-1682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/13/2006
Last updated
03/27/2008
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