DR. TODD ANDREW JOHNSON (NPI# 1033208418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033208418 |
| Entity Type | Individual |
| Full Name | DR. TODD ANDREW JOHNSON |
| Credential | M.D. |
| Practice Address |
1765 N Elston Ave Suite 110 Chicago IL 60642-1501 |
| Practice Telephone | 7732761100 |
| Practice Fax Number | 7732761102 |
| Mailing Telephone | 7732761100 |
| Mailing Fax Number | 7732761102 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 036110291 | IL | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
036110291 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036110291 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395901 | Todd Johnson | Pharmacist | 660 W Mlk Blvd, Fayetteville, AR 72701-6443 | 2020-10-28 |
| 1780166090 | Todd A Johnson | Nurse Practitioner | 21530 Barrett Knolls Dr, Richmond, TX 77406-5300 | 2018-09-04 |
| 1790291722 | Todd L Johnson | Counselor | 222 Indianapolis Blvd, Ste 207b, Schererville, IN 46375-1276 | 2017-12-28 |
| 1750780722 | Todd L. Johnson | Dentist | 10425 Fair Oaks Blvd Ste 202, Fair Oaks, CA 95628-7559 | 2014-08-15 |
| 1497094155 | Todd J Johnson | Nurse Practitioner | 78 Buchanan St, 302, San Francisco, CA 94102-6252 | 2013-01-31 |
| 1649456989 | Todd David Johnson | Chiropractor | 834 W Main St, Van Wert, OH 45891-1417 | 2008-01-17 |
| 1245421528 | Todd Johnson | Case Manager/Care Coordinator | 2110 30th St S, Saint Petersburg, FL 33712-2949 | 2007-08-05 |
| 1326188442 | Todd Richard Johnson | Counselor | 1600 Payton Gin Rd, Austin, TX 78758-6506 | 2007-02-07 |
| 1134271000 | Todd Eric Johnson | Family Medicine | 6 Haddington Ct, Bluffton, SC 29910-6199 | 2007-01-18 |
| 1407915291 | Todd A Johnson | Dentist | 5702 Memorial Ct, Weston, WI 54476-6502 | 2006-12-07 |
| Street Address |
1765 N ELSTON AVE SUITE 110 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831139344 | Meyer Horn | Dermatology | 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 | 2006-06-07 |
| 1629676481 | Donna Bagdasarian | Physical Therapist | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2020-10-14 |
| 1366056053 | Elizabeth Lorentzen | Speech-Language Pathologist | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2020-09-01 |
| 1023620754 | Emily Ann Marie Firmiss | Speech-Language Pathologist | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2020-08-24 |
| 1508406380 | Justine Rae Boudreau | Behavioral Analyst | 1765 N Elston Ave, Suite 206, Chicago, IL 60642-1501 | 2020-01-09 |
| 1629618673 | Caitlin O'connor | Speech-Language Pathologist | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2020-01-07 |
| 1326511544 | Jennifer Herndon | Behavioral Analyst | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2019-01-10 |
| 1831564848 | Natalie Theriault | Nurse Practitioner | 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 | 2015-12-02 |
| 1053552240 | Monica Rani | Dermatology | 1765 N Elston Ave, Suite 1600, Chicago, IL 60642-1501 | 2009-03-17 |
| 1376701623 | Emily L Arch | Dermatology | 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174984959 | Advanced Skin and Mohs Surgery Center S.c. | Dermatology | 2845 N. Sheridan Road, Ste 912, Chicago, IL 60657 | 2016-03-08 |
| 1538200308 | Omeed Memar | Dermatology | 50 E Washington St Ste 200, Chicago, IL 60602-2154 | 2007-02-12 |
| 1891721965 | Aleksandar L Krunic | Dermatology | 5140 N California Ave Ste 660, Chicago, IL 60625-3664 | 2006-06-23 |
| 1437678133 | M D Aesthetics and Dermatology LLC | Dermatology | 1021 W Adams St, Ll # 1, Chicago, IL 60607-2934 | 2017-09-13 |
| 1588041099 | Sarah Jo Wilson | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2015-05-04 |
| 1902933146 | Academic Dermatology & Skin Cancer Institute, Sc | Dermatology | 50 E Washington St Ste 200, Chicago, IL 60602-2154 | 2007-02-27 |
| 1801967633 | Aleksandar Krunic, Md, Sc | Dermatology | 5140 N California Ave Ste 660, Chicago, IL 60625-3664 | 2006-11-13 |
| 1306801246 | Northwestern Skin Cancer Institute, Ltd | Dermatology | 737 N Michigan Ave, Suite 2310, Chicago, IL 60611-2635 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374270 | Lilly Aesthetics Sc | Dermatology | 2500 S Highland Ave Ste 220, Lombard, IL 60148-7103 | 2019-12-23 |
| 1194270637 | University Dermatology and Vein Clinic LLC | Dermatology | 8110 Cass Ave, Darien, IL 60561-5013 | 2016-08-24 |
| 1376915629 | Forefront Dermatology, S.c. | Dermatology | 1520 Bond St, Naperville, IL 60563 | 2015-10-27 |
| 1710294756 | Tracy Campbell Md LLC | Dermatology | 675 W North Ave Ste 506, Melrose Park, IL 60160-1626 | 2010-09-13 |
| 1932388865 | Marsh Dermatology, Sc | Dermatology | 1252 American Way, Libertyville, IL 60048-3936 | 2007-10-27 |
| 1073595690 | Ashish C Bhatia | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2005-11-18 |
| 1538153960 | Sharon Louise Horton | Dermatology | 1049 E Wilson St, Suite 190, Batavia, IL 60510-2474 | 2005-08-31 |
| 1487168258 | Oak Dermatology LLC | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2017-11-30 |
| 1629524632 | Forefront Dermatology, S.c. | Dermatology | 3253 S Harlem Ave, Suite 1a, Berwyn, IL 60402 | 2016-08-30 |
| 1215383666 | Beaird Dermatology S C | Dermatology | 4885 Hoffman Blvd, Suite #407, Hoffman Estates, IL 60192-3726 | 2016-05-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. TODD ANDREW JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.