Ansel T Johnson is a Optometrist based in Blue Island, IL. Ansel T Johnson practices in Blue Island, IL and has the professional credentials of OD. The NPI Number for Ansel T Johnson is 1023106309 and holds a License No. 046007826 (Illinois).
The current practice location address for Ansel T Johnson is 12812 Western Ave, Blue Island, IL and can be reached out via phone at 708-385-0013 and via fax at 708-385-1175.
Identifier | Type | State | Issuer |
---|---|---|---|
1636075 | 01 | IL | BCBSIL ID |
046007826 | 05 | IL | |
0718670001 | 01 | IL | DMERC PIN |
363718601 | 01 | IL | TAX ID |
410011831 | 01 | RAIL ROAD MEDICARE PIN |
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