Individual
MRS. BERNICE IK-JANG MI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYISICAN ASSISTANT
Contact information
Practice address
7300 W COLLEGE DR, 1NW, PALOS HEIGHTS, IL 60463-1152
(708) 671-1374
(708) 671-1378
Mailing address
7300 W COLLEGE DR, 1NW, PALOS HEIGHTS, IL 60463-1152
(708) 671-1374
(708) 671-1378
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-001948
IL
Other
Enumeration date
07/21/2006
Last updated
02/19/2013
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