TODD RICHARD JOHNSON

CHAMPAIGN, IL
NPI1790176402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209012564)
Enumeration Date2015-02-17
Last Update Date2015-02-17
Business Address
-- TODD RICHARD JOHNSON
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
Mailing Address
-- TODD RICHARD JOHNSON
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
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