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1205811775
MARK R JOHNSON
SPRINGFIELD, IL
NPI
1205811775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: IL 036-093433)
Enumeration Date
2005-12-07
Last Update Date
2020-11-17
Business Address
MARK R JOHNSON M.D.
301 N 8TH ST
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-0702
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Mailing Address
MARK R JOHNSON M.D.
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-7578
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