Individual provider · Type 1 NPI

Kevin Darnell Johnson, MD

Student in an Organized Health Care Education/Training Program · La Grange, IL

NPI number 1003221680 Active

Practice location

5101 Willow Springs Rd, 2nd Floor
La Grange, IL 60525-2600

Call (708) 245-8900 Map

Fax (708) 245-5604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125065696 (IL)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1003221680

Kevin Darnell Johnson, MD's National Provider Identifier is 1003221680, issued on Jun 23, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Grange, IL. The record was last updated on Jun 23, 2014.