Marcus Wayne Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9181 Issued in FL

Practice address

1780 Green Bay Rd.
Highland Park, IL 60035

Phone

(847) 432-4077

Fax

(847) 681-8940

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Shore Spinal & Sports Rehabilitation, LTD

  • Physical Therapist
  • Highland Park, IL
  • NPI 1871713552
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1013090661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 WASHINGTON ST STE 13",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312988",
            "telephone_number": "847-672-7920",
            "fax_number": "847-672-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 GREEN BAY RD.",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "60035",
            "telephone_number": "847-432-4077",
            "fax_number": "847-681-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARCUS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewish Child and Family Services
• Joan P Goldstein D.D.S.,P.C.
• Brandon Joda, LMT
• Joel Brotman LCSW
• David Andrew Johnson, P.T.
• Randee Johnson, PH.D.
• Joint & Spine Rehabilitation of Northern Illinois
• David Jolly, DC
• Cleotha Aisha Jones, APN
• Whitney Lacrystal Jones

• Chiropractor in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.