Individual provider · NPI-1

Sara Johnson, M.D.

Emergency Medicine · Berwyn, IL

NPI number1730286519
StatusActive
Last updated in NPPESJan 9, 2009

Details

NPI
1730286519
Entity type
Individual (NPI-1)
Name
Sara Johnson
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Sep 20, 2006
Last updated
Jan 9, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine036-107859ILYes

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 708-783-9100

Mailing address

212 N Ridgeland Ave
Oak Park, IL 60302-2323

Phone 708-383-0568

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