SearchIllinois207W00000X

Matthew Johnson, M.D

NPI 1912133638 · on the registry since 2009

Practice

Address
2240 Gateway Dr
Sycamore, IL 60178
Phone
(815) 756-7136
Organisation at this address
Hr Optical Llc
Dekalb Optical Shop Llc
Kishwaukee Community Health Services Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
207W00000X
207W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-17

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