Dr. Vernell Johnson III, M.D.
Emergency Medicine in Kankakee, IL. Individual provider (NPI-1).
NPI number1063458024
StatusActive
Last updated in NPPESDec 6, 2007
Details
- NPI
- 1063458024
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vernell Johnson III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2006
- Last updated
- Dec 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-098684 | IL | Yes |
Practice location
500 W Court StKankakee, IL 60901-3661
Phone 815-937-2100
Mailing address
555 W Court StKankakee, IL 60901-3675
Phone 888-828-3193
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