Dr Andrew C Johnson, MD | |
49 S Waukegan Rd Ste 100, Deerfield, IL 60015-5204 | |
(847) 945-4575 | |
Not Available |
Full Name | Dr Andrew C Johnson |
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Gender | Male |
Speciality | Pediatrics |
Location | 49 S Waukegan Rd Ste 100, Deerfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639465131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 125.059761 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
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Dr Andrew C Johnson, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Dr Andrew C Johnson, MD 49 S Waukegan Rd Ste 100, Deerfield, IL 60015-5204 Ph: (847) 945-4575 |
Lisa Davidoff, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 707 Lake Cook Rd Ste 122, Deerfield, IL 60015 Phone: 224-296-1520 Fax: 224-252-6330 | |
Charles Loren Obrien Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 49 S Waukegan Rd Ste 100, Deerfield, IL 60015 Phone: 847-945-4575 Fax: 847-945-4593 | |
Dr. Robert L Levy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Lake Cook Road, Suite 119, Deerfield, IL 60015 Phone: 847-945-3850 | |
Gerald S Levin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 190 Waukegan Road, Deerfield, IL 60015 Phone: 847-945-4575 Fax: 847-945-4593 | |
Dr. Cheryl Ann Donovan-hunt, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 720 Osterman Ave Ste 103, Deerfield, IL 60015 Phone: 847-374-1300 | |
Sara Wiemer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 49 S Waukegan Rd Ste 100, Deerfield, IL 60015 Phone: 847-945-4575 | |
Dr. William R Wittert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 720 Osterman Ave, Deerfield, IL 60015 Phone: 847-374-1300 Fax: 847-374-0936 |