LAWRENCE L. JOHNSON, M.D., S.C. (NPI# 1376629626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376629626 |
| Entity Type | Organization |
| Organization Name | LAWRENCE L. JOHNSON, M.D., S.C. |
| Other Organization Name | LAWRENCE L. JOHNSON, M.D., S.C. |
| Practice Address |
351 Delnor Dr Ste. 400 Geneva IL 60134 |
| Practice Telephone | 6302322885 |
| Practice Fax Number | 6302329936 |
| Mailing Telephone | 6302322885 |
| Mailing Fax Number | 6302329936 |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | DR. LAWRENCE L. JOHNSON (OWNER) |
| Authorized Official Telephone | 6302322885 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 036052717 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 4500588 | 01 |
| IL | 036052717 | 05 |
| Other Name | Type Code |
|---|---|
| Lawrence L. Johnson, M.D., S.C. | Doing Business As Name - Organization |
| Street Address |
351 DELNOR DR STE. 400 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972643 | Paul R Batty | Surgery | 351 Delnor Dr, Ste 406, Geneva, IL 60134-4222 | 2005-06-16 |
| 1376931550 | Elise Noelle Lynch | Nurse Practitioner | 351 Delnor Dr, Suite 100, Geneva, IL 60134-4222 | 2014-12-22 |
| 1780012344 | Central Dupage Physician Group | Orthopaedic Surgery | 351 Delnor Dr, Geneva, IL 60134-4222 | 2013-10-17 |
| 1437586583 | Holley R Harris | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2013-10-03 |
| 1770924847 | Cornerstone Medical Group PC | Family Medicine | 351 Delnor Dr, Geneva, IL 60134-4222 | 2013-07-17 |
| 1437492451 | Wei He | Psychiatry & Neurology | 351 Delnor Dr, Geneva, IL 60134 | 2013-03-27 |
| 1508126897 | Yoomi Kenyon Brendel | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2012-05-21 |
| 1588942775 | Magdeline S Riemenschneider | Physician Assistant | 351 Delnor Dr, Suite 406, Geneva, IL 60134-4222 | 2011-07-22 |
| 1871808998 | Mona S Seaver | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2010-08-12 |
| 1609187590 | Jaclyn Beth Wierzbicki | Surgery | 351 Delnor Dr, Geneva, IL 60134-4220 | 2010-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447635156 | Geneva General Hospital Inc | Dermatology | 196 North St, Geneva, NY 14456-1651 | 2015-07-23 |
| 1235495649 | Amanda Barbara Carpenter | Dermatology | 70 Mason St, Geneva, NY 14456-1104 | 2012-04-10 |
| 1487763421 | Emily M Lambert | Dermatology | 70 Mason St, Geneva, NY 14456-1104 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
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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.