Individual
JILL A JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4941 BENCHMARK CENTRE DR, SUITE 100, SWANSEA, IL 62226-2038
(618) 624-9974
(618) 624-9973
Mailing address
4941 BENCHMARK CENTRE DR, SUITE 100, SWANSEA, IL 62226-2038
(618) 624-9974
(618) 624-9973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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