DR. ROBERT B JOHNSON (NPI# 1073579397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073579397 |
| Entity Type | Individual |
| Full Name | DR. ROBERT B JOHNSON |
| Credential | M.D. |
| Practice Address |
755 S. Milwaukee Avenue, Suite 263 Libertyville IL 60048-3266 |
| Practice Telephone | 8479181500 |
| Practice Fax Number | 8479181500 |
| Mailing Telephone | 8479181500 |
| Mailing Fax Number | 8479187850 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 213614 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-121148 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
213614 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01955022 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774690 | Robert T Johnson | Massage Therapist | 4717 W 160th St, Lawndale, CA 90260-2505 | 2020-09-14 |
| 1053945352 | Robert Leroy Johnson | Technician | 29 Tucker Rd, Hardy, AR 72542-9115 | 2020-02-25 |
| 1205467206 | Robert L Johnson | Counselor | 403 Best Friends Turn Aly, Mcdonough, GA 30252-4844 | 2020-01-28 |
| 1548808439 | Robert Mathew Johnson | Nurse Practitioner | 4898 Erin Ln, Melbourne, FL 32940-7156 | 2019-12-11 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1942770060 | Robert Terry Johnson | Behavior Technician | 6591 Reflection Dr, San Diego, CA 92124-3119 | 2018-12-01 |
| 1992280135 | Robert Johnson | Home Health | 3550 Minnesota Ave Se, Washington, DC 20019-8215 | 2018-10-02 |
| 1154825503 | Robert Edward Johnson IIi | Student in an Organized Health Care Education/Training Program | University of Washington, Department of Oral Surgery, 1959 Ne Pacific Street, Seattle, WA 98105 | 2018-03-21 |
| 1932625704 | Robert Johnson | Driver | 101 Joanis Dr, Danville, VA 24540-5855 | 2017-08-14 |
| 1326580986 | Robert Alan Johnson | Counselor | 5920 Se Coyote Dr, Topeka, KS 66619-1429 | 2016-11-14 |
| Street Address |
755 S. MILWAUKEE AVENUE, SUITE 263 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558355255 | Fahd Jajeh | Internal Medicine | 1870 W Winchester Rd Ste 241, Libertyville, IL 60048-5360 | 2005-09-08 |
| 1679880389 | Heart Rhythm Management of Lake County | Internal Medicine | 114 W Rockland Rd, Suite 202, Libertyville, IL 60048-2700 | 2010-09-02 |
| 1730320235 | Benjamin L Rojas Jr. | Internal Medicine | 1870 W Winchester Rd Ste 241, Libertyville, IL 60048-5360 | 2009-03-12 |
| 1922256601 | Eric Kessler | Internal Medicine | 900 Technology Way, Suite 220, Libertyville, IL 60048-5364 | 2008-09-05 |
| 1316086879 | Ray Weldon Helms | Internal Medicine | 114 W Rockland Rd, Suite 202, Libertyville, IL 60048-2700 | 2007-02-05 |
| 1295802429 | Geetha M Reddy S C | Internal Medicine | 1880 W Winchester Rd, Suite 207, Libertyville, IL 60048-5341 | 2006-11-30 |
| 1174545453 | Geetha M Reddy | Internal Medicine | 1880 W Winchester Rd, Suite 207, Libertyville, IL 60048-5341 | 2006-07-24 |
| 1811941222 | Heartcare Cardiovascular Specialists, Sc | Internal Medicine | 755 S Milwaukee Ave, Suite 263, Libertyville, IL 60048-3253 | 2006-05-20 |
| 1881688596 | Maher C Nahlawi | Internal Medicine | 1870 W Winchester Rd Ste 241, Libertyville, IL 60048-5360 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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| 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.