person
Todd Richard Johnson
Family Nurse Practitioner in Champaign, Illinois
NPI 1790176402

Todd Richard Johnson is a Family Nurse Practitioner based in Champaign, IL and is specialized in Family. Todd Richard Johnson practices in Champaign, IL. The NPI Number for Todd Richard Johnson is 1790176402 and holds a License No. 209012564 (Illinois).

The current practice location address for Todd Richard Johnson is 819 Bloomington Rd, Champaign, IL and can be reached out via phone at 217-356-1558 and via fax at 217-356-8529. You can also correspond with Todd Richard Johnson through the mailing address at 819 BLOOMINGTON RD, CHAMPAIGN, IL - 61820-2101 (mailing address contact number: 217-356-1558).

Location: 819 Bloomington Rd, Champaign, IL, 61820-2101
person
Provider Profile Details
NPI Number
1790176402
Provider Name
Todd Richard Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
819 Bloomington Rd, Champaign, IL, 61820-2101
Phone Number
217-356-1558
Fax Number
217-356-8529
Provider Enumeration Date
02/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
819 Bloomington Rd
City
State
Zip
61820-2101
Phone Number
217-356-1558
Fax Number
217-356-8529
person
Provider Business Mailing Address Details
Address
819 Bloomington Rd
City
State
Zip
61820-2101
Phone Number
217-356-1558
Fax Number
217-356-8529
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209012564 (Illinois)
Definition
Definition to come...
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