Mark R. Johnson, M.D.
Pediatrics · Springfield, IL
UnclaimedM.D.NPI 1205811775
- Primary taxonomy
- 2080P0214X
- Enumerated
- 2005-12-07
- Practice location
- Springfield, IL
- Last NPPES update
- 2020-11-17
State licenses
- IL · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.