RICKY JOHNSON (NPI# 1346340650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346340650 |
| Entity Type | Individual |
| Full Name | RICKY JOHNSON |
| Credential | M.D. |
| Practice Address |
2011 E 75th St Chicago IL 60649-3607 |
| Mailing Address |
170 Terrace Dr Chicago Heights IL 60411-1044 |
| Practice Telephone | 7737527796 |
| Mailing Telephone | 7087547725 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036072599 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215003751 | Ricky Lynn Johnson | Dentist | 403 E Lincoln Ave, Searcy, AR 72143-7407 | 2006-11-27 |
| 1073050134 | Ricky C Johnson | Community/Behavioral Health | 1200 S Torrey Pines Dr, Apt 156, Las Vegas, NV 89146-1013 | 2017-01-27 |
| Street Address |
2011 E 75TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700901576 | Chicago Chatham Medical Associates | Family Medicine | 2011 E 75th St, Suite 111, Chicago, IL 60649-3607 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
| 1154564607 | Kevin Patrick Haas | Internal Medicine | 840 S Wood St # Mc719, Chicago, IL 60612-4325 | 2009-04-14 |
| 1427194638 | Diane Tate | Internal Medicine | 6547 N Avondale Ave, Suite 001, Chicago, IL 60631-1573 | 2007-01-29 |
| 1760534192 | Anita A Shah | Internal Medicine | 2800 N Sheridan Rd Ste 301, Chicago, IL 60657-6158 | 2007-01-17 |
| 1891853016 | Romeo Lee Uy | Internal Medicine | 5140 North California Ave, Suite 620, Chicago, IL 60625 | 2006-12-04 |
| 1861560724 | Alvin Jerry Schonfeld | Internal Medicine | 438 W Saint James Pl, Chicago, IL 60614-2750 | 2006-11-30 |
| 1154405801 | Nicholas Gross | Internal Medicine | 1414 N Wells St, Apt. 407, Chicago, IL 60610-1374 | 2006-10-25 |
| 1285724765 | Howard Arya Jaffe | Internal Medicine | 820 South Damen Street, Pccsm, Dept Med (111), Jesse Brown Va Medical Center, Chicago, IL 60612 | 2006-10-13 |
| 1215041462 | Patricia S Mikes Md Sc | Internal Medicine | 201 E Huron St Ste 11-245, Chicago, IL 60611-2867 | 2006-08-17 |
| 1174539084 | Lawrence A Rudnick | Internal Medicine | 1044 N Mozart St Ste 405, Chicago, IL 60622-2790 | 2006-07-31 |
| Find all providers in CHICAGO | ||||
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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.