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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CARL R JOHNSON, M.D.

Active Sole Proprietor

DR. CARL R JOHNSON, M.D. is a Internal Medicine healthcare provider located in MATTOON, Illinois. NPI 1275525701 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MATTOON, IL

Registration Details

NPI Number
1275525701
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2005 (21.002992604504 yrs)
Last Updated
Jan 27, 2015
License
036057126 (IL)
Sole Proprietor
Yes

Practice Information

Address
500 HEALTH CENTER DR
SUITE 104
MATTOON, IL, 619389258
Browse IL providers · Browse ZIP 61938
Phone
2172584080
Fax
2172584084
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in MATTOON, IL

Name Credential NPI
JOHN ROGERS MD 1023086295
ARNOLD V AGAPITO MD 1467421677
DR. TIMOTHY H CAMDEN MD 1659323327
DR. ROBERT G GOOD DO 1639122922
KIRAN JOAG M.D. 1013023258
JULIAN VASSAY M.D. 1003922782
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.