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Search › Illinois › Community Health Worker

Dominic Johnson

NPI 1104618529 · on the registry since 2025

Practice

Address
300 W Oak St
Carbondale, IL 62901
Phone
(217) 891-9662
Organisation at this address
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
Community Health Worker
172V00000X
Sex
Male
Record last updated
2025-05-21

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