Johnson, Vincent L

Johnson, Vincent L is an individual health care provider with primary practice located at 300 Randall Rd , Geneva IL 60134-4200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Johnson, Vincent L can be contacted via phone (630) 933-4700.

Contact Information

Primary practice address
300 Randall Rd Geneva IL 60134-4200
Phone: (630) 933-4700
Fax: (630) 933-4427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 036069759 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-096759 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036096759 Illinois

Profile Details

NPI number 1497749931
LBN Legal business name Johnson, Vincent L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 19th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497749931 NPPES
Illinois Other 206147 MEDICARE GROUP NUMBER
Illinois Other 3631498336019001 MEDICARE GROUP NUMBER
Illinois Other P00656803 MEDICARE GROUP NUMBER
Illinois MEDICAID 036096759 MEDICARE GROUP NUMBER
Illinois Other 0222075 MEDICARE GROUP NUMBER

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