MARK A JOHNSON

URBANA, IL
NPI1730383662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine Critical Care Medicine
(Licence: IL  036130838)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-06-13
Last Update Date2015-01-20
Business Address
DR. MARK A JOHNSON M.D.
611 W. PARK ST.
URBANA, IL 61801-2500
Phone number: 217-383-3087
Mailing Address
DR. MARK A JOHNSON M.D.
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792