NIVA M LUBIN JOHNSON


Address: 8541 S State St, Suite 1, Chicago, IL 60619-5665
Phone: 7734882200

NIVA M LUBIN JOHNSON (NPI# 1679523716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679523716
Entity Type Individual
Full Name NIVA M LUBIN JOHNSON
Credential MD
Practice Address 8541 S State St
Suite 1
Chicago
IL 60619-5665
Mailing Address 3601 W 183rd St
Hazel Crest
IL 60429-2409
Practice Telephone 7734882200
Mailing Telephone 7089577623
Mailing Fax Number 7089577948
Enumeration Date 2006-05-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine IL Allopathic & Osteopathic Physicians

Office Location

Street Address 8541 S STATE ST
SUITE 1
City CHICAGO
State IL
Zip Code 60619-5665

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811978059 Latifah Sabree Neuromusculoskeletal Medicine, Sports Medicine 8541 S State St, Suite 8, Chicago, IL 60619-5665 2005-11-07
1679868012 Community Mental Health Council, Inc. Community/Behavioral Health 8541 S State St, Chicago, IL 60619-5665 2011-06-14
1215267786 Medical Associates of Chatam, Ltd Clinic/Center 8541 S State St, Suite #9, Chicago, IL 60619-5665 2010-01-06
1972731172 Kortnee Y. Roberson Family Medicine 8541 S State St, Suite 4, Chicago, IL 60619-5665 2009-06-25
1578754958 Shelley Allison Sandiford Family Medicine 8541 S State St, Chicago, IL 60619 2007-08-09
1992902597 Pierre Rene Noisette Md Sc Pediatrics 8541 S State St, Suite 1, Chicago, IL 60619-5665 2007-06-28
1275758260 Valencia M Ray Md Sc Ophthalmology 8541 S State St, Suite 5, Chicago, IL 60619-5665 2007-04-16
1457484586 Evelyn Frances Taylor Currie Internal Medicine 8541 S State St, Suite1, Chicago, IL 60619-5665 2007-03-14
1366572380 Raj K Goyal Md Sc Ophthalmology 8541 S State St, Suite # 5, Chicago, IL 60619-5665 2007-03-07
1477624120 Alicia Ann Stovell Technician/Technologist 8541 S State St, Chicago, IL 60619-5665 2006-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457985061 Tonia Dorsey Durable Medical Equipment & Medical Supplies 951 E 80th Street, Apt 1, Chicago, IL 60619 2020-02-24
1821635509 Lisa Strader Technician 8605 S. Dorchester, Chicago, IL 60619 2019-12-02
1821647579 Deborah Joves Technician 8258 S. Woodlawn Ave, Chicago, IL 60619 2019-09-05
1194372458 Cognitive Focus Centers, Inc. Clinic/Center 901 E 95th St, Chicago, IL 60619 2019-08-21
1588136360 Zantraquilla Z Madkins Transportation Broker 7829 South Wabash, Chicago, IL 60619 2018-12-18
1619447497 Bria Stanciel Case Manager/Care Coordinator 8419 S Cottage Grove, Chicago, IL 60619 2018-12-05
1184153520 Jordane Kelley Nurse's Aide 7339 S Wabash Ave, Chicago, IL 60619 2017-06-08
1205362977 Kristen Suing Psychologist 1111 E 87th St Ste 300, Chicago, IL 60619 2017-05-02
1720525280 Senior Healthcare Services Inc Physical Therapist 9133 South Stoney Island, Chicago, IL 60619 2017-01-23
1932652567 Md Orthotic & Prosthetic Laboratory, Inc. Prosthetic/Orthotic Supplier 1514 E 87th St Lowr Level, Chicago, IL 60619 2016-08-01
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

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1922606193 Thatiana Carolina Schulze Goni Internal Medicine 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 2020-10-11
1750995742 Eva Bartaula Internal Medicine 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 2020-09-07
1750994513 Ranjit Babu Jasaraj Internal Medicine 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 2020-08-30
1871106005 Vijay Ketan Reddy Internal Medicine 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 2020-08-27
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1871119172 Irina Komissarova Internal Medicine 916 S Oakley Blvd, Chicago, IL 60612-4230 2020-06-22
1336760719 Arslan Zahid Internal Medicine 5847 S Maryland Ave, Chicago, IL 60637-1463 2020-04-27
1104447572 Nirmal Desai Internal Medicine 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 2020-04-27
1467072447 Justin Edmond Sipiora Internal Medicine 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 2020-04-20
1003449612 Eoht LLC Internal Medicine 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 2020-02-21
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City CHICAGO
Zip Code 60619

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Dataset Information

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.

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