Vernell Johnson Iii in Kankakee - Emergency Medicine

Vernell Johnson Iii - NPI 1063458024

Vernell Johnson Iii is a Emergency Medicine in Kankakee, Illinois. Vernell Johnson Iii practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Vernell Johnson Iii is 1063458024. The last update date is 2007-12-06.

Vernell Johnson Iii's current location address is 555 W Court St, Kankakee, Illinois. You can contact this provider via phone number 8888283193. The mailing address for Vernell Johnson Iii is 555 W Court St, Kankakee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Vernell Johnson Iii
Address 555 W Court St, Kankakee, Illinois
Phone Number 8888283193
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1063458024
Provider Enumeration Date 2006-06-20
Last Updated Date 2007-12-06

Provider Mailing Address Detail

Address 555 W Court St
City Kankakee
State Illinois (IL)
Post Code 609013675
Phone Number 8888283193
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4622394 BCBS

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FAQs about Vernell Johnson Iii

What is the unique identifier code issued to Vernell Johnson Iii by the Centers for Medicare & Medicaid Services?

The Vernell Johnson Iii has been assigned the NPI (National Provider Identifier) 1063458024. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Vernell Johnson Iii's facilities are geographically located?

The facilities of Vernell Johnson Iii are physically situated at the following location: 555 W Court St, Kankakee, IL, 609013675.

What is Vernell Johnson Iii's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Vernell Johnson Iii is Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 207P00000X.

When did the Vernell Johnson Iii receive its 1063458024?

The Vernell Johnson Iii was issued its 1063458024 on 2006-06-20, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Vernell Johnson Iii, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Vernell Johnson Iii, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-06.

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