Evan D Johnson (NPI# 1407005218, PAC ID# 7911039821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1407005218 |
| PAC ID by PECOS | 7911039821 |
| Professional Enrollment ID | I20100712000700 |
| Full Name | Evan D Johnson |
| Organization Legal Name | LAWRENCE L. JOHNSON, M.D., S.C. |
| Address |
3310 W Main St Suite 115 St Charles IL 60175-7649 |
| Phone Number | 6302322885 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1254435175 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140211 | DELNOR COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3310 W Main St, Suite 115, St Charles, IL 60175-7649 | 6302322885 | LAWRENCE L. JOHNSON, M.D., S.C. |
| Organization Legal Name | LAWRENCE L. JOHNSON, M.D., S.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence L Johnson | Dermatology | Lawrence L. Johnson, M.d., S.c. | 3310 W Main St, Suite 115, St Charles, IL 60175-7649 |
| Street Address |
3310 W MAIN ST SUITE 115 |
| City | ST CHARLES |
| State | IL |
| Zip | 60175-7649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence L Johnson | Dermatology | Lawrence L. Johnson, M.d., S.c. | 3310 W Main St, Suite 115, St Charles, IL 60175-7649 |
| Maria Holgado Cocjin | Pediatric Medicine | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Kelly C Simkins | Obstetrics/gynecology | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Raja Chatterji | Obstetrics/gynecology | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Sarah E Smith | Pediatric Medicine | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Rachel Bohringer | Physical Therapy | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Corissa J Elgar | Obstetrics/gynecology | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Shelly M Sinatra | Nurse Practitioner | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Carolyn N Mills | Obstetrics/gynecology | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Dipti M Patel | Obstetrics/gynecology | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ginny M Dobbins | Physical Therapy | Advanced Physical Medicine of Saint Charles | 3381 W Main St, Suite 1, St Charles, IL 60175-1008 |
| Anthony V Pollastrini | Podiatry | 3381 W Main St, Suite 2, Saint Charles, IL 60175-1008 | |
| Andrew Raymond Glenn | Chiropractic | Advanced Physical Medicine of Saint Charles | 3381 W Main St, Suite 1, St Charles, IL 60175-1008 |
| David A Williamson | Chiropractic | Advanced Physical Medicine of Saint Charles | 3381 W Main St, Suite 1, St Charles, IL 60175-1008 |
| James E Judge | Chiropractic | 2422 W Main St, 4a, Saint Charles, IL 60175-1010 | |
| Kalie E Judge | Chiropractic | 2422 W Main St, 4a, St Charles, IL 60175-1010 | |
| Meghan A Jones | Nurse Practitioner | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Natalie K Roche | Obstetrics/gynecology | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Allison D Gajownik | Nurse Practitioner | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Alan Jacobson | Rheumatology | Dreyer Clinic Inc | 3310 W Main St, Suite 200, St Charles, IL 60175-1024 |
| Find all physicians in zip 60175 | |||
| City | ST CHARLES |
| Zip Code | 60175 |
| Specialty | DERMATOLOGY |
| City + Specialty | ST CHARLES + DERMATOLOGY |
Please comment or provide details below to improve the information on Evan D Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.