Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY L JOHNSON, M.D.
ActiveGREGORY L JOHNSON, M.D. is a Geriatric Medicine healthcare provider located in PEORIA, Illinois. NPI 1417922857 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · PEORIA, IL
Registration Details
- NPI Number
- 1417922857
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2006 (20.495889028129 yrs)
- Last Updated
- Jan 31, 2013
- License
-
036115494 (IL)
Practice Information
- Address
-
900 MAIN STSUITE 100PEORIA, IL, 616021005Browse IL providers · Browse ZIP 61602
- Phone
- 3096724908
- Fax
- 3096724272
- Primary Specialty
-
Geriatric Medicine
207QG0300X
Other Geriatric Medicine Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES W LAGOSKI | DO | 1164479424 |
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.