| Johnson Medical Services S.c. | |
|
27 W 132 Barnes Ave/ Winfield IL 60190 | |
| (630) 379-9759 | |
| (630) 933-1933 |
| Full Name | Johnson Medical Services S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 27 W 132 Barnes Ave/, Winfield, Illinois |
| Authorized Official Name and Position | Jeffrey Taylor Johnson (PRESIDENT/OWNER) |
| Authorized Official Contact | 6303799759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Medical Services S.c. 27w132 Barnes Ave Winfield IL 60190-1063 Ph: (630) 379-9759 | Johnson Medical Services S.c. 27 W 132 Barnes Ave/ Winfield IL 60190 Ph: (630) 379-9759 |
| NPI Number | 1730625500 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 08/31/2020 |
| Medicare PECOS PAC ID | 5799067120 |
|---|---|
| Medicare Enrollment ID | O20170127000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730625500 | NPI | - | NPPES |
| 036050297 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey T Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689786352 PECOS PAC ID: 5092899575 Enrollment ID: I20080221000448 |
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