Organization
DAVID P JOHNSON
Active
Other names
Johnson Portable Xray Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P JOHNSON R.T.R. (OWNER OPERATOR)
(815) 544-7120
Entity
Organization
Contact information
Practice address
8198 COMMERCE DR STE A, LOVES PARK, IL 61111-5710
(815) 544-7120
(815) 885-4271
Mailing address
8198 COMMERCE DR STE A, LOVES PARK, IL 61111-5710
(815) 544-7120
(815) 885-4271
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
500498218
IL
Other
Enumeration date
05/26/2006
Last updated
07/21/2022
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