| Judy Ann Johnson, Dds, Pc | |
|
1030 Sterling Avenue Flossmoor IL 60422-1265 | |
| (708) 647-0740 | |
| (708) 647-0741 |
| Full Name | Judy Ann Johnson, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1030 Sterling Avenue, Flossmoor, Illinois |
| Authorized Official Name and Position | Judy Ann Johnson (PRESIDENT) |
| Authorized Official Contact | 7086470740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy Ann Johnson, Dds, Pc 1030 Sterling Avenue Flossmoor IL 60422-1265 Ph: (708) 647-0740 | Judy Ann Johnson, Dds, Pc 1030 Sterling Avenue Flossmoor IL 60422-1265 Ph: (708) 647-0740 |
| NPI Number | 1194811885 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 06/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194811885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019016821 (Illinois) | Primary |
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