COLEEN JOHNSON (NPI# 1235513664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235513664 |
Entity Type | Individual |
Full Name | COLEEN JOHNSON |
Credential | M.D. |
Practice Address |
1501 S California Ave Department of Family Medicine L1026 Chicago IL 60608-1732 |
Practice Telephone | 7084065929 |
Enumeration Date | 2015-07-15 |
Last Update Date | 2016-11-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 125066897 | IL | Hospitals |
Street Address |
1501 S CALIFORNIA AVE DEPARTMENT OF FAMILY MEDICINE L1026 |
City | CHICAGO |
State | IL |
Zip Code | 60608-1732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033118856 | Robert C Parker | Internal Medicine | 1501 S California Ave, Chicago, IL 60608-1732 | 2005-07-14 |
1568094803 | Klaudia Magdalena Gwozdz | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2020-02-05 |
1578036422 | Britney Kummerer | Social Worker | 1501 S California Ave, Chicago, IL 60608-1732 | 2019-01-03 |
1114405164 | Katya Tapia | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-08-01 |
1487140166 | Rayman Johal | Family Medicine | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-07-06 |
1871092940 | Maruf Yinusa | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-02-05 |
1114456134 | Joanna Villacorta Griffin | Social Worker | 1501 S California Ave, Chicago, IL 60608-1732 | 2017-06-05 |
1982149159 | Carmen Murillo | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-12-27 |
1558819821 | Man Ye | Physician Assistant | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-09-15 |
1285180430 | Emily Arlene Grace | Physician Assistant | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
Find all providers in zip 60608 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
1144694639 | Danielle Marie Valentino | General Acute Care Hospital | 5841 S Maryland Ave # Mc6065, Chicago, IL 60637-1443 | 2015-11-20 |
1467830745 | Mcgaw Medical Center of Nu | General Acute Care Hospital | 737 N Michigan Ave, Ste 1600 Nmh, Cardiovascular Imaging, Chicago, IL 60611 | 2015-05-07 |
1467846022 | Andres Maldonad | General Acute Care Hospital | 6019 S Ingleside Ave, Apartment 902, Chicago, IL 60637-2600 | 2015-03-22 |
1093117921 | Sj Termini, Dds PC | General Acute Care Hospital | 1074 W Taylor St # 207, Chicago, IL 60607-4336 | 2014-09-23 |
1982014841 | None | General Acute Care Hospital | 2323 W 114th St, Chicago, IL 60643-4108 | 2014-04-30 |
1770905804 | Esad Zisko | General Acute Care Hospital | 2441 W Farragut Ave Apt 3b, Chicago, IL 60625-2477 | 2014-01-08 |
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.