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Dominic Johnson — NPI 1104618529, Carbondale, IL | NPI Central

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Dominic Johnson

NPI 1104618529 · Community Health Worker · Carbondale, IL

Provider details

NPI number: 1104618529
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Practice location

300 W Oak St

Carbondale, IL 62901-1400

Phone: (217) 891-9662

More IL providers

Mailing address

300 W Oak St

Carbondale, IL 62901-1400

Registry dates

Enumerated: 2025-05-21
Last updated: 2025-05-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.