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Kevin Darnell Johnson, MD
Student in an Organized Health Care Education/Training Program in La Grange, Illinois
NPI 1003221680

Kevin Darnell Johnson is a Student in an Organized Health Care Education/Training Program based in La Grange, IL. Kevin Darnell Johnson practices in La Grange, IL and has the professional credentials of MD. The NPI Number for Kevin Darnell Johnson is 1003221680 and holds a License No. 125065696 (Illinois).

The current practice location address for Kevin Darnell Johnson is 5101 Willow Springs Rd, La Grange, IL and can be reached out via phone at 708-245-8900 and via fax at 708-245-5604.

Location: 5101 Willow Springs Rd, La Grange, IL, 60525-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003221680
Provider Name
Kevin Darnell Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5101 Willow Springs Rd, La Grange, IL, 60525-2600
Phone Number
708-245-8900
Fax Number
708-245-5604
Provider Enumeration Date
06/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5101 Willow Springs Rd
City
La Grange
State
Illinois
Zip
60525-2600
Phone Number
708-245-8900
Fax Number
708-245-5604
person
Provider Business Mailing Address Details
Address
5101 Willow Springs Rd
City
La Grange
State
Illinois
Zip
60525-2600
Phone Number
708-245-8900
Fax Number
708-245-5604
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125065696 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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