MARK R JOHNSON

SPRINGFIELD, IL
NPI1205811775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: IL  036-093433)
Enumeration Date2005-12-07
Last Update Date2020-11-17
Business Address
MARK R JOHNSON M.D.
301 N 8TH ST
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-0702
Mailing Address
MARK R JOHNSON M.D.
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-7578
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