BRUCE JOHNSON (NPI# 1912043621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912043621 |
| Entity Type | Individual |
| Full Name | BRUCE JOHNSON |
| Credential | MD |
| Practice Address |
800 W Biesterfield Road Suite 4003 Elk Grove Village IL 60007 |
| Mailing Address |
800 W Biesterfield Road Suite 4003 Elk Grove Village IL 60007-7306 |
| Practice Telephone | 8473640800 |
| Practice Fax Number | 8473640854 |
| Mailing Telephone | 8473640800 |
| Mailing Fax Number | 8473640854 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2015-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036078438 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036078438 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452329 | Bruce Johnson | Technician | 1720 R St Se, Washington, DC 20020-4763 | 2019-08-12 |
| 1215304738 | Bruce A. Johnson | Marriage & Family Therapist | 425 Coon Rapids Blvd., Coon Rapids, MN 55433 | 2015-09-01 |
| 1932398393 | Bruce David Johnson | Social Worker | 230 East Marydale, Suite 2, Soldotna, AK 99669-7648 | 2007-10-22 |
| 1447453097 | Bruce G Johnson | Anesthesiology | 800 E Cheves St Ste 480b, Florence, SC 29506-2650 | 2007-06-08 |
| 1366654899 | Bruce Gordon Johnson | Optometrist | 2610 South Douglas Highway, Suite 190, Gillette, WY 82718 | 2007-05-04 |
| 1104041813 | Bruce C. Johnson | Psychiatry & Neurology | 748 Se Fairwinds Loop, Vancouver, WA 98661-8087 | 2007-04-16 |
| 1114040011 | Bruce Hinton Johnson | Dentist | 7641 Shaffer Pkwy, Littleton, CO 80127-3013 | 2007-04-08 |
| 1013034933 | Bruce Lyman Johnson | Dentist | 716 Castle Heights Ct, Lebanon, TN 37087-2670 | 2007-03-24 |
| 1366591687 | Bruce A Johnson | Dentist | 8 W Dry Creek Circle, Ste 200, Littleton, CO 80120 | 2007-01-09 |
| 1932281946 | Bruce Alan Johnson | Dentist | 7311 Ne 141st St, Bothell, WA 98011-5303 | 2006-10-19 |
| Street Address |
800 W BIESTERFIELD ROAD SUITE 4003 |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1427307339 | Northwest Rheumatology Specialist II LLC | Internal Medicine | 800 Biesterfield Rd, Suite 4003, Elk Grove Village, IL 60007-3361 | 2012-09-06 |
| 1437295144 | Glenn I Weiner | Internal Medicine | 800 Biesterfield Rd, Suite 4003, Elk Grove Village, IL 60007-3668 | 2007-01-29 |
| 1073623872 | Northwest Rheumatology Specialists, S.c. | Internal Medicine | 800 W Biesterfield Rd, Ste 4003, Elk Grove Village, IL 60007-7306 | 2006-08-30 |
| 1851346134 | Prerana Panchal | Internal Medicine | 901 Biesterfield Rd, #207, Elk Grove Village, IL 60007-3392 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988345 | Bashir Holdings | Internal Medicine | 210 N Hammes Ave Ste 110, Joliet, IL 60435-6688 | 2020-06-29 |
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1255776860 | Alexander Geevarghese | Internal Medicine | 27650 Ferry Rd Ste 210, Warrenville, IL 60555-3846 | 2013-05-08 |
| 1285078766 | Sheela Metgud | Internal Medicine | 9000 Waukegan Rd Ste 200, Morton Grove, IL 60053-2127 | 2013-04-26 |
| 1043551500 | Nisha Dsilva | Internal Medicine | 10 Martin Ave Ste 140, Naperville, IL 60540 | 2013-03-08 |
| 1255694675 | Heena Aditya Birbal Jain | Internal Medicine | 1701 Curtis Rd., Rheumatology, Champaign, IL 61822-9678 | 2012-06-20 |
| 1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
| 1699921353 | Anna A. Stanislaus | Internal Medicine | 801 N Cass Ave Ste 150, Westmont, IL 60559-1121 | 2008-08-13 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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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.