Whalio Doctors

NPI 1215040209

Anton Johnson, MD

Practitioner Nuclear Medicine Physician Springfield, IL

Practice location

Address
800 E Carpenter St Department of Radiology, Springfield, IL 62702-5324
Phone
(217) 544-6464
Fax
(217) 525-5671
Mailing address
111 Oakwood Rd, East Peoria, IL 61611-1853

Registered specialties (2)

Nuclear Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 036095564 (IL)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 036-095564 (IL)

Registry record

NPI
1215040209
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Aug 2006
Record last updated
3 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.