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Clifford Johnson JR.
Orthopedic Hand Surgery Physician in Champaign, Illinois
NPI 1578585725

Clifford Johnson JR. is a Orthopedic Hand Surgery Physician based in Urbana, IL and is specialized in Hand Surgery. Clifford Johnson JR. practices in Champaign, IL. The NPI Number for Clifford Johnson JR. is 1578585725 and holds a License No. 036102230 (Illinois).

The current practice location address for Clifford Johnson JR. is 1802 S. Mattis Ave., Champaign, IL and can be reached out via phone at 217-383-3260 and via fax at 217-383-4459.

Location: 1802 S. Mattis Ave., Champaign, IL, 61801-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578585725
Provider Name
Clifford Johnson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1802 S. Mattis Ave., Champaign, IL, 61801-2500
Phone Number
217-383-3260
Fax Number
217-383-4459
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0533210001 01 IL DMERC #
institution
Provider Business Practice Location Address Details
Address
1802 S. Mattis Ave.
City
Champaign
State
Illinois
Zip
61821-5923
Phone Number
217-383-3260
Fax Number
217-383-4459
person
Provider Business Mailing Address Details
Address
1802 S. Mattis Ave.
City
Champaign
State
Illinois
Zip
61821-5923
Phone Number
217-383-3260
Fax Number
217-383-4459
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
036102230 (Illinois)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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