person
Kathleen Johnson
Diagnostic Radiology Physician in Peoria, Illinois
NPI 1831177559

Kathleen Johnson is a Diagnostic Radiology Physician based in Peoria, IL and is specialized in Diagnostic Radiology. Kathleen Johnson practices in Peoria, IL. The NPI Number for Kathleen Johnson is 1831177559 and holds a License No. (Illinois).

The current practice location address for Kathleen Johnson is 5409 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-682-7750 and via fax at 309-682-7786. You can also correspond with Kathleen Johnson through the mailing address at PO BOX 3853, PEORIA, IL - 61612-3853 (mailing address contact number: ).

Location: 5409 N Knoxville Ave, Peoria, IL, 61612-3853
person
Provider Profile Details
NPI Number
1831177559
Provider Name
Kathleen Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5409 N Knoxville Ave, Peoria, IL, 61612-3853
Phone Number
309-682-7750
Fax Number
309-682-7786
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL0100 01 IL JOHN DEERE
1431758 01 IL ACR
239090 01 IL HEALTHLINK
058975 01 IL HEALTH ALLIANCE
0007222342 01 IL BLUE CROSS BLUE SHIELD
036065748-1 05 IL
institution
Provider Business Practice Location Address Details
Address
5409 N Knoxville Ave
City
State
Zip
61615
Phone Number
309-682-7750
Fax Number
309-682-7786
person
Provider Business Mailing Address Details
Address
5409 N Knoxville Ave
City
State
Zip
61615
Phone Number
309-682-7750
Fax Number
309-682-7786
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
(Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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