Gregory L Johnson in Peoria - Geriatric Medicine

Gregory L Johnson - NPI 1417922857

Gregory L Johnson is a Geriatric Medicine in Peoria, Illinois. Gregory L Johnson practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Gregory L Johnson is 1417922857. The last update date is 2013-01-31.

Gregory L Johnson's current location address is 900 Main St, Peoria, Illinois. You can contact this provider via phone number 3096724908 and fax number 3096724272. The mailing address for Gregory L Johnson is 900 Main St, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory L Johnson
Address 900 Main St, Peoria, Illinois
Phone Number 3096724908
Fax Number 3096724272
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1417922857
Provider Enumeration Date 2006-02-21
Last Updated Date 2013-01-31

Provider Mailing Address Detail

Address 900 Main St
City Peoria
State Illinois (IL)
Post Code 616021005
Phone Number 3096724908
Fax Number 3096724272

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No 36115494
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

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FAQs about Gregory L Johnson

What is the Gregory L Johnson's unique identification number?

The Gregory L Johnson has been assigned the NPI (National Provider Identifier) Number 1417922857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Gregory L Johnson is located?

The Gregory L Johnson is situated at the following address: 900 Main St, Peoria, IL, 616021005.

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

The primary area of medical expertise for Gregory L Johnson is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qg0300X.

On what date was the 1417922857 assigned to Gregory L Johnson?

The Gregory L Johnson was issued its 1417922857 on 2006-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Gregory L Johnson's information last updated?

The Gregory L Johnson's information was last updated on 2013-01-31.

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