Stephen Issac Johnson, MD | |
4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | |
(708) 422-7100 | |
Not Available |
Full Name | Stephen Issac Johnson |
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Gender | Male |
Speciality | Family Medicine |
Location | 4901 W 79th St, Burbank, 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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1912105057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 125052913 (Illinois) | Primary |
Entity Name | Aspirus Keweenaw |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
Mailing Address | Practice Location Address |
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Stephen Issac Johnson, MD 2800 W 95th St, Business Development, 3n, Evergreen Park, IL 60805-2701 Ph: (708) 229-5420 | Stephen Issac Johnson, MD 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 Ph: (708) 422-7100 |
Dr. Neenu Prasad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070 | |
Lisa D Thomas-craft, MSN-FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 844-725-5238 Fax: 708-346-8285 | |
Dave Bolger, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4901 W 79th St, 2nd Floor, Burbank, IL 60459 Phone: 708-499-1545 Fax: 708-499-4862 | |
Joyce Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4901 W 79th St, Suite 10, Burbank, IL 60459 Phone: 708-422-7100 Fax: 708-229-6088 | |
Dr. Oscar Ruiz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 708-499-1545 Fax: 708-499-4862 | |
Joanna Lo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070 | |
Joyal Akkawi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 708-499-1545 Fax: 708-499-4862 |