STEPHEN ISSAC JOHNSON


Address: 4901 W 79th St, Suite 10, Burbank, IL 60459-1554
Phone: 7084227100

STEPHEN ISSAC JOHNSON (NPI# 1912105057) 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) 1912105057
Entity Type Individual
Full Name STEPHEN ISSAC JOHNSON
Credential MD
Practice Address 4901 W 79th St
Suite 10
Burbank
IL 60459-1554
Mailing Address 2800 W 95th St
Business Development, 3n
Evergreen Park
IL 60805-2701
Practice Telephone 7084227100
Mailing Telephone 7082295420
Mailing Fax Number 7082294209
Enumeration Date 2007-07-10
Last Update Date 2015-05-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 125052913 IL Allopathic & Osteopathic Physicians

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1528365459 Stephen Siewers Johnson Social Worker 1480 Oakbridge Ct., Powhatan, VA 23139 2011-02-11
1720231129 Stephen W. Johnson Dentist 9295 E. Thunderbird Rd, Suite 104, Scottsdale, AZ 85260 2008-10-29
1407079098 Stephen Andrew Johnson Speech-Language Pathologist 12650 Grey Eagle Ct, Apt. 14, Germantown, MD 20874-5318 2007-04-11
1245356005 Stephen Allen Johnson Counselor 1550 E Battlefield St Ste A, Springfield, MO 65804-3700 2007-03-22
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Office Location

Street Address 4901 W 79TH ST
SUITE 10
City BURBANK
State IL
Zip Code 60459-1554

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861487423 Andrea D. Jones Obstetrics & Gynecology 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 2005-09-20
1538540877 Advocate Health & Hospital Co Hospice Care, Community Based 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 2015-06-12
1952724312 Cristine S. Williams Dietitian, Registered 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 2014-01-21
1073950622 Lisa Garland Internal Medicine 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 2013-05-22
1275827701 Dave Bolger Family Medicine 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 2011-06-01
1962630178 Naveen Abraham Family Medicine 4901 W 79th St, Burbank, IL 60459-1554 2009-06-25
1750536082 Diane Marie Brooks Physician Assistant 4901 W 79th St, Burbank, IL 60459-1554 2008-12-01
1588817605 Seyed Mahmoud Nabavi Physician Assistant 4901 W 79th St, Burbank, IL 60459-1554 2008-11-03
1376705772 Joyce Chen Family Medicine 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 2008-06-26
1780858027 Drs Wang M.d.s.c Allergy & Immunology 4901 W 79th St, Burbank, IL 60459-1554 2008-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619475852 Albina Optometric Optometrist The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 2018-01-23
1265943583 Sara Christine De Van Speech-Language Pathologist 7600 South Mason Avenue, Burbank, IL 60459 2017-10-13
1710426465 Nikki Negrete Specialist/Technologist 8520 S. Leclaire Ave., Burbank, IL 60459 2017-02-14
1700335734 Sheefa Pharmacy Inc. Pharmacy 8519 S Harlem Avenue, Burbank, IL 60459 2016-10-03
1518325695 Orthodontic Experts Dentist 7820 S. Cicero Ave, Burbank, IL 60459 2016-02-04
1528438306 Lila Ayyad-alharsha Behavioral Analyst 6146 W. State Rd., Burbank, IL 60459 2015-10-06
1467852483 Chicago Counseling & Training, Inc Counselor 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 2014-08-27
1629344247 Michael Joseph Fary Optometrist 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 2012-03-28
1265732176 Syeda Kulsoom Ali Family Medicine 4901 W 79th St Floor 2, Burbank, IL 60459 2010-10-26
1114119781 Bonnes and Vasquez, P.C. Social Worker 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 2007-08-16
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770932204 Sam Fatoorehchi Family Medicine 4901 W 79th St Fl 2, Burbank, IL 60459-1569 2016-06-06
1750768685 Rasha William Atallah Family Medicine 4901 W 79th St Ste 10, Burbank, IL 60459-1554 2015-04-29
1477949618 Ciara L Shirvanian Family Medicine 191 S. Buena Vista Street, Suite #100, Burbank, CA 91505-4554 2015-04-14
1346678794 M & C Physician Solutions PC Family Medicine 640 N Keystone St, Suite B, Burbank, CA 91506-1900 2013-10-22
1265732176 Syeda Kulsoom Ali Family Medicine 4901 W 79th St Floor 2, Burbank, IL 60459 2010-10-26
1881915627 Mahin Ghanevati Family Medicine 191 S Buena Vista St Ste 220, Burbank, CA 91505-4563 2010-06-16
1336467620 Treasa L Davis Family Medicine 191 S Buena Vista St Ste 375, Burbank, CA 91505-4558 2010-05-11
1982935268 Lynn Joseph Ramirez, M.d. Inc. Family Medicine 303 S Glenoaks Blvd Ste 4, Burbank, CA 91502-1193 2010-01-26
1538310172 West Suburban Medical Ctr. Family Medicine 8333 South Austin, Burbank, IL 60459-2558 2008-10-01
1952560732 Liana Poghosyan Family Medicine 401 S Glenoaks Blvd Ste 101, Burbank, CA 91502-2707 2008-06-05
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City BURBANK
Zip Code 60459

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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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