NINAH CLEGG-JOHNSON, DO

Internal Medicine

Active Individual
NPI: 1568992873

Practice Address

530 NE GLEN OAK AVE
Peoria, IL 61637

Phone: (309) 655-3863

Specialties

Specialty Code Primary License
Pediatrics 208000000X No 125.070646 (IL)
Internal Medicine 207R00000X Yes 125.070646 (IL)

Frequently Asked Questions

NPI 1568992873 is the National Provider Identifier for NINAH CLEGG-JOHNSON, DO, a Internal Medicine provider located in Peoria, IL. This NPI was enumerated on June 19, 2017.
NINAH CLEGG-JOHNSON, DO practices at 530 NE GLEN OAK AVE, Peoria, IL 61637.

Quick Facts

NPI
1568992873
Type
Individual
Enumerated
Jun 19, 2017
Last Updated
Jan 14, 2021

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