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Dr. Mark A Johnson, MD
Student in an Organized Health Care Education/Training Program in Urbana, Illinois
NPI 1730383662

Mark A Johnson is a Student in an Organized Health Care Education/Training Program based in Urbana, IL. Mark A Johnson practices in Urbana, IL and has the professional credentials of MD. The NPI Number for Mark A Johnson is 1730383662 and holds a License No. 036130838 (Illinois).

The current practice location address for Mark A Johnson is 611 W. Park St., Urbana, IL and can be reached out via phone at 217-383-3087. You can also correspond with Mark A Johnson through the mailing address at 611 W. PARK ST., URBANA, IL - 61801-2500 (mailing address contact number: 217-383-6792).

Location: 611 W. Park St., Urbana, IL, 61801-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730383662
Provider Name
Mark A Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
611 W. Park St., Urbana, IL, 61801-2500
Phone Number
217-383-3087
Fax Number
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
611 W. Park St.
City
Urbana
State
Illinois
Zip
61801-2500
Phone Number
217-383-3087
Fax Number
person
Provider Business Mailing Address Details
Address
611 W. Park St.
City
Urbana
State
Illinois
Zip
61801-2500
Phone Number
217-383-3087
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
()
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036130838 (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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