Samuel Lewis Johnston M.D.

NPI 1184832271 - Internal Medicine - 207R00000X

NPI Details
NPI 1184832271
Gender Male
Enumeration Date 05/20/2007
Last Updated 11/20/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
64 VENETIAN WAY CIR
WHEATON IL, 60189-2142, US
Phone (630) 432-2193
Fax
Business Location
64 VENETIAN WAY CIR
WHEATON IL, 60189-2142, US
Phone (630) 432-2193
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036-114065
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According to our database, Dr. Samuel Lewis Johnston M.D. NPI is 1184832271, taxonomy code is 207R00000X and license number is 036-114065, license state is located at Illinois. Samuel Lewis Johnston M.D. physically located at 64 Venetian Way Cir, Wheaton IL, 60189-2142. NPI Number Samuel Lewis Johnston M.D. has the Individual type.

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1184832271 NPI number is provided on an as is basis without warranty of any kind. 1184832271 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Lewis Johnston M.D. are for informational purposes only.