Active NPI
Emilie Johnson, MD
- Pediatric Urology Physician
- Chicago, IL
National Provider Identifier
1366568784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 036.134995
- Practice address
- 225 E Chicago Ave
Box 24
Chicago, IL 60611-2991 - Phone
- (312) 227-6340
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 036.134995 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave
Box 24
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave
Box 24
Chicago, IL 60611-2991
Phone (312) 227-6340
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.134995 | IL | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Pediatric Urology | Current | Accepting new patients |
| Lurie Children'S Medical Group, LLC | Past | Accepting new patients |
Locations
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
60 E Delaware Pl
Chicago, IL 60611
Phone (312) 440-5127
820 S Wood St
#955
Chicago, IL 60612
Phone (312) 996-6519
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
Interoperability endpoints
- ejohnson17148@uihealth.direct-ci.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134118649
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Urology Physician
- Chicago, IL
- NPI 1760601892
Pediatric Urology
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1942244645
-
- Pediatrics Physician
- Chicago, IL
- NPI 1992758544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1366568784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"address_2": "BOX 24",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"address_2": "BOX 24",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "EMILIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "IL",
"license": "036.134995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.