Search › Illinois › 207Q00000X
Leslie Johnson, M.D
NPI 1336111897 · on the registry since 2006
Practice
- Address
- 6339 N Big Hollow Rd
Peoria, IL 61615 - Phone
- (309) 693-3315
- Fax
- (309) 693-9385
- Organisation at this address
- Cardinal Medical Group, Ltd.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-01-27
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