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Contact Information

JEFFREY T JOHNSON, DO
0N150 WINFIELD ROAD
WINFIELD, IL60190
 Phone: 630-665-1550
 Fax: 630-665-3510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JEFFREY T JOHNSON · (Male)

NPI Number 1689786352
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/31/2006
Last updated 06/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036050297
  • IL Medicaid 036050297
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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