IndividualActive
Evan Johnson, M.D.
NPI 1407005218 · Dermatology Physician · St. Charles, IL
Provider details
- NPI number
- 1407005218
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036.121856 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3310 W. Main Street
Suite 115
St. Charles, IL 60175-4220
Phone: (630) 232-2885
Fax: (630) 232-9936
Approximate (ZIP-level) locationGet directions
Mailing address
3310 W. Main Street
St. Charles, IL 60175-4220
Registry dates
- Enumerated
- 2008-09-17
- Last updated
- 2017-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.