Jill A Johnston, M.D.

NPI #1871504787 in Swansea, Illinois

Provider Information

NPI Number: 1871504787
Entity Type: Individual
Name: Jill A Johnston, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Aug 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4941 BENCHMARK CENTRE DR
Address 2: SUITE 100
City: Swansea
State: Illinois
ZIP Code: 62226-2038
Phone: (618) 624-9974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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