SearchIllinoisStudent in an Organized Health Care Education/Training Program

Kevin Johnson, MD

NPI 1003221680 · on the registry since 2014

Practice

Address
5101 Willow Springs Rd
2nd Floor
La Grange, IL 60525
Phone
(708) 245-8900
Fax
(708) 245-5604
Organisation at this address
Jw Pharmacy & Dme Inc
Jw Pharmacy & Dme Inc
Adventist Midwest Health
Adventist Midwest Health
Adventist Midwest Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
61

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois