Ricky Johnson (NPI# 1346340650, PAC ID# 9830196500) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1346340650 |
| PAC ID by PECOS | 9830196500 |
| Professional Enrollment ID | I20061023000552 |
| Full Name | Ricky Johnson |
| Address |
3169 W Madison St Chicago IL 60612-1809 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PULMONARY DISEASE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3169 W Madison St, Chicago, IL 60612-1809 |
| Street Address |
3169 W MADISON ST |
| City | CHICAGO |
| State | IL |
| Zip | 60612-1809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Carbray | Nurse Practitioner | The Board of Trustees of The University of Illinois | 1747 W Roosevelt Rd, Chicago, IL 60612-1264 |
| Keith A La Vallee | Optometry | 2111 W Superior St, Chicago, IL 60612-1315 | |
| Valerie L Wezran | Nurse Practitioner | Access Community Health Network | 2409 W Warren Blvd, Chicago, IL 60612-2115 |
| Shay L Ward | Nurse Practitioner | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Angie Wang | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Amanda Christine Harrington | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Rena Chaya Schwartz | Nurse Practitioner | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Alexia Boima Caulker | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Brian S Boe | Internal Medicine | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Mary Kay Larson | Nurse Practitioner | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Find all physicians in zip 60612 | |||
| City | CHICAGO |
| Zip Code | 60612 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ricky 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.