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1285640276
MICHAEL JOHNSON
PEORIA, IL
NPI
1285640276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036088034)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- MICHAEL JOHNSON MD
8914 N KNOXVILLE AVE
PEORIA, IL 61615-1410
Phone number: 309-691-9110
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Mailing Address
-- MICHAEL JOHNSON MD
5100 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone number: 309-672-4809
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