DR. JOHNNY L. LIN (NPI# 1447206677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447206677 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY L. LIN |
| Credential | M.D. |
| Practice Address |
1611 W Harrison St # 400 Chicago IL 60612-4861 |
| Mailing Address |
1 Westbrook Corporate Ctr #240 Westchester IL 60154-5701 |
| Practice Telephone | 3122434244 |
| Practice Fax Number | 3129421517 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
036115264 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN NUMBER LOCALITY #15 | 207073 | 01 |
| IL | AETNA | 7686873 | 01 |
| IL | RR MEDICARE PTAN NUMBER | DA4902 | 01 |
| IL | 036115264 1 | 05 | |
| IL | MEDICARE PTAN NUMBER LOCALITY #16 | 207067 | 01 |
| IL | RR MEDICARE PROVIDER NUMBER | P00381332 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770642357 | Johnny C. Lin | Family Medicine | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-12-08 |
| Street Address |
1611 W HARRISON ST # 400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619922481 | Lenni Fugazy | Physician Assistant | 1611 W Harrison St # 400, Chicago, IL 60612-4861 | 2006-05-23 |
| 1508145442 | Jaskarndip Chahal | Orthopaedic Surgery | 1611 W Harrison St # 400, Chicago, IL 60612-4861 | 2011-08-09 |
| 1932372711 | Lindsay H Rudhman | Physician Assistant | 1611 W Harrison St # 400, Chicago, IL 60612-4861 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275829954 | Raymond R Montoya II | Orthopaedic Surgery | 259 E Erie St Ste 2230, Chicago, IL 60611-3370 | 2011-06-21 |
| 1427505197 | Kelly Hynes | Orthopaedic Surgery | 5841 S Maryland Ave, Mc3079, Room P211m, Chicago, IL 60637-1447 | 2016-09-09 |
| 1417339995 | Kurt Krautmann | Orthopaedic Surgery | 251 E Huron St, Chicago, IL 60611-2908 | 2015-06-22 |
| 1972919702 | Jonathan L Hook | Orthopaedic Surgery | 2850 S Wabash Ave Ste 100, Chicago, IL 60616 | 2014-07-01 |
| 1770717670 | Kamran Syed Hamid | Orthopaedic Surgery | 1611 W. Harrison St, Ste 400, Chicago, IL 60612-2530 | 2009-05-06 |
| 1568441327 | George B. Holmes | Orthopaedic Surgery | 1611 W. Harrison, Suite 400, Chicago, IL 60612 | 2006-01-11 |
| 1922087691 | Simon Lee | Orthopaedic Surgery | 1611 W Harrison St, Ste 400, Chicago, IL 60612-3841 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588189419 | Oa Associates LLC | Orthopaedic Surgery | 200 Admiral Trost Rd, Columbia, IL 62236-2163 | 2017-08-11 |
| 1497231518 | Saluja Kaushali Mahabamunuge | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153 | 2018-07-11 |
| 1528563483 | Christopher Cklamovski | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153 | 2018-03-24 |
| 1659716751 | Gina Rose Cahill | Orthopaedic Surgery | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2013-05-02 |
| 1801181920 | Shaun Kink | Orthopaedic Surgery | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2011-06-16 |
| 1841501962 | Bryant Shane Ho | Orthopaedic Surgery | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2010-06-23 |
| 1194861286 | Medicall Physicians Group, Ltd. | Orthopaedic Surgery | 2040 E Algonquin Rd, Ste. 504, Schaumburg, IL 60173-4187 | 2007-01-29 |
| 1780748319 | John D Mazzarella | Orthopaedic Surgery | 3033 Ogden Ave, Ste 110, Lisle, IL 60532-1976 | 2006-12-20 |
| 1861402984 | Brian Christopher Toolan | Orthopaedic Surgery | 1206 E 9th St, Lockport, IL 60441-2404 | 2006-08-09 |
| 1154350353 | Parkview Orthopaedic Group S C | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2006-07-01 |
| Find all providers with the same taxonomy | ||||
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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.