BENJAMIN C JOHNSON (NPI# 1619193109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619193109 |
| Entity Type | Individual |
| Full Name | BENJAMIN C JOHNSON |
| Credential | MD |
| Practice Address |
222 S Greenleaf Lake County Head & Neck Specialists Sc Suite 106 Gurnee IL 60031 |
| Practice Telephone | 8476624442 |
| Practice Fax Number | 8476624446 |
| Mailing Telephone | 8476624442 |
| Mailing Fax Number | 8476624446 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588125066 | Benjamin Levi Johnson | Physician Assistant | 2208 Longwood Rd, Lynchburg, VA 24503-4220 | 2019-03-27 |
| 1053878660 | Benjamin Johnson | Technician | 46 Forrester St Sw Apt 1, Washington, DC 20032-2111 | 2019-03-01 |
| 1235679382 | Benjamin V Johnson Sr. | Technician, Pathology | 210 Crossings Blvd, Suite 227, Elverson, PA 19520-9070 | 2017-03-07 |
| 1972051613 | Benjamin Johnson IIi | Physical Therapy Assistant | 202 Canaan Rd, Stratford, CT 06614-4611 | 2016-09-12 |
| 1194142281 | Benjamin R Johnson | Anesthesiology | 1653 W Congress Parkway 739 Jelke Dept Anesthesia, Chicago, IL 60612-0000 | 2014-03-26 |
| 1851731590 | Benjamin Erusha Johnson | Surgery | 2740 W Foster Ave Ste 213, Chicago, IL 60625-3532 | 2013-06-26 |
| 1114287349 | Benjamin Everett Johnson | Counselor | 1000 Clay St, Kenner, LA 70062-6734 | 2012-05-22 |
| 1750670014 | Benjamin Singer Johnson | Dentist | 4027 N Bartlett Ave, Shorewood, WI 53211-1909 | 2011-04-06 |
| 1710286786 | Benjamin Johnson | Chiropractor | 917 8th Ave S Ste C, Nashville, TN 37203-4768 | 2011-03-16 |
| 1144458019 | Benjamin Aaron Johnson | Dentist | 4000 Bellmead Dr, Waco, TX 76705 | 2009-06-30 |
| Street Address |
222 S GREENLEAF LAKE COUNTY HEAD & NECK SPECIALISTS SC SUITE 106 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669449336 | Narendra M Desai | Otolaryngology | 222 S Greenleaf, Suite 106, Gurnee, IL 60031-5705 | 2006-03-02 |
| 1881706588 | Erik G Nelson | Otolaryngology | 222 S Greenleaf, Ste 106, Gurnee, IL 60031-5705 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669449336 | Narendra M Desai | Otolaryngology | 222 S Greenleaf, Suite 106, Gurnee, IL 60031-5705 | 2006-03-02 |
| 1649268780 | Vibhakar Shantilal Shah | Otolaryngology | 222 S Greenleaf St, Suite No. 109, Gurnee, IL 60031-5705 | 2005-10-12 |
| 1851432157 | Lake County Head and Neck Specialists S.c. | Otolaryngology | 222 S Greenleaf St, Suite 106, Gurnee, IL 60031-5705 | 2007-02-09 |
| 1881706588 | Erik G Nelson | Otolaryngology | 222 S Greenleaf, Ste 106, Gurnee, IL 60031-5705 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
| 1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
| 1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
| 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.