Individual provider Active NPI

Alan D Johnson, M.D.

  • Obstetrics & Gynecology Physician
  • Hoffman Estates, IL
National Provider Identifier
1083605034
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-053301 Issued in IL
Practice address
2500 W Higgins Rd
Suite 1150
Hoffman Estates, IL 60169
Phone
(847) 884-2002
Fax
(847) 884-2022
NPI assigned
Oct 31, 2005
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-053301 IL Primary
Hospitalist Physician 208M00000X 036053301 IL

Addresses

Primary practice location

2500 W Higgins Rd
Suite 1150
Hoffman Estates, IL 60169

Mailing address

2500 W Higgins Rd
Suite 1150
Hoffman Estates, IL 60169-7280
Phone (847) 884-2002

Other practice location 1

2400 N Rockton Ave
Rockford, IL 61103-3655
Phone (815) 971-9000

Other practice location 2

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

Other practice location 3

5145 N California Ave Fl 3
Chicago, IL 60625-3661
Phone (773) 878-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000251 IL Practitioner - Obstetrics/GynecologyPractitioner - Hospitalist 5496787632 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-053301ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Apr 22, 2017 Accepting new patients
Neighborhood Family Healthcare SC CurrentSince Feb 24, 2019 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology Current Accepting new patients
Mercy Health System Corporation CurrentSince Jan 6, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 6, 2016 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Jul 3, 2014 Accepting new patients
Swedish Covenant Management Services, Inc. Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Aug 1, 2018 Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2740 W Foster Ave
Ste 410
Chicago, IL 60625
Phone (773) 907-0978

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

5145 N California Ave
Fl 3
Chicago, IL 60625
Phone (773) 989-3834

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1083605034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "SUITE 1150",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697280",
            "telephone_number": "847-884-2002",
            "fax_number": "847-884-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "SUITE 1150",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-884-2002",
            "fax_number": "847-884-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 N Rockton Ave",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611033655",
            "country_code": "US",
            "telephone_number": "815-971-9000",
            "fax_number": "815-971-9299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Barrington Rd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601691019",
            "country_code": "US",
            "telephone_number": "847-843-2000",
            "fax_number": "877-707-9936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 N California Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253661",
            "country_code": "US",
            "telephone_number": "773-878-8200",
            "fax_number": "773-989-1734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-053301",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036053301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.