Jean Johnson

NPI #1184972630 in Freeport, Illinois

Provider Information

NPI Number: 1184972630
Entity Type: Individual
Name: Jean Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 421 W EXCHANGE ST
City: Freeport
State: Illinois
ZIP Code: 61032-4008
Phone: (815) 599-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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