DR. BROOKE T JOHNSON (NPI# 1023457512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023457512 |
| Entity Type | Individual |
| Full Name | DR. BROOKE T JOHNSON |
| Credential | D.O. |
| Practice Address |
1855 W Taylor St Chicago IL 60612 |
| Mailing Address |
1855 W Taylor St Chicago IL 60612-7242 |
| Practice Telephone | 3129969120 |
| Practice Fax Number | 3129967770 |
| Mailing Telephone | 3129969120 |
| Mailing Fax Number | 3129967770 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036.142615 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366932501 | Brooke Johnson | Technician, Pathology | 26022 Budde Rd Ste B103, Spring, TX 77380-2014 | 2018-05-14 |
| 1164896379 | Brooke Johnson | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2015-11-25 |
| 1194859298 | Brooke Patterson Johnson | Speech-Language Pathologist | 700 Chatham Medical Park, Elkin, NC 28621-2483 | 2007-03-14 |
| 1396893483 | Brooke Elizabeth Johnson | Specialist | 34321 32 Ave E, Eatonville, WA 98328 | 2007-01-08 |
| 1073111985 | Brooke Johnson | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-10-13 |
| 1477103885 | Brooke Johnson | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-09-17 |
| 1790347888 | Brooke Lauren Johnson | Occupational Therapist | 1536 Fording Island Rd Ste 105, Hilton Head Island, SC 29926-1144 | 2019-06-28 |
| 1932768959 | Brooke E Johnson | Family Medicine | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2019-06-12 |
| 1083189039 | Brooke E Johnson | Counselor | 1027 E Burnside St, Portland, OR 97214-1328 | 2018-10-05 |
| 1528556974 | Brooke Anne Johnson | Case Manager/Care Coordinator | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2018-05-01 |
| Street Address |
1855 W TAYLOR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255329470 | Ari B Rubenfeld | Specialist | 1855 W Taylor St, Rm 2.42, Chicago, IL 60612-7242 | 2005-10-11 |
| 1336768852 | Luis Alejandro Acaba-berrocal | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-14 |
| 1780213025 | Michael Thomas Massengill | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-08 |
| 1528697745 | Tala Al-khaled | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-08 |
| 1841829009 | Johnathan Jeffers | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-08 |
| 1558990846 | Can Kocasarac | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-07 |
| 1184251134 | Joshua Anthony Lee | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-03-26 |
| 1760041479 | Abigail Ann Strauss | Optometrist | 1855 W Taylor St, Chicago, IL 60612-7242 | 2019-06-07 |
| 1699237420 | Katherine Grace Chen | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2019-04-01 |
| 1235694530 | Benito Valdepenas IIi | Pharmacist | 1855 W Taylor St, Chicago, IL 60612-7242 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| 1366838708 | Tresa Elizabeth Zacharias | Psychiatry & Neurology | Northwestern University, 710 N. Lake Shore Drive, Chicago, IL 60611 | 2015-04-13 |
| 1588059570 | Neena R Cherayil | Psychiatry & Neurology | 259 E Erie St Fl 19, Chicago, IL 60611-2987 | 2015-04-06 |
| 1851782783 | Jennifer Ann Smith | Psychiatry & Neurology | 240 East Huron Street, Mcgaw Pavilion, Suite 1-203, Office of Graduate Medical Education, Chicago, IL 60611 | 2015-02-13 |
| Find all providers in CHICAGO | ||||
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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.