IndividualActive
Anton Johnson, M.D.
NPI 1215040209 · Nuclear Medicine Physician · Springfield, IL
Provider details
- NPI number
- 1215040209
- Entity type
- Individual
- Primary specialty
- Nuclear Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-095564 (IL)
Practice location
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
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2024-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.