Charles B Johnston MD PC
NPI #1407000177 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1407000177
- Entity Type
- Organization
- Organization Name
- Charles B Johnston MD PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 7, 2008
- Last Updated
- Nov 7, 2008
Practice Location
- Address
- 675 W NORTH AVE
- Address 2
- SUITE 202
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60160-1634
- Phone
- (708) 681-7905
Authorized Official
- Name
- DR. CHARLES B JOHNSTON, M.D.
- Title
- PRESIDENT
- Phone
- (708) 681-7905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Internal Medicine |
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