Charles B Johnston MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036078749 Issued in IL

Legal business name

CHARLES B JOHNSTON MD PC

Practice address

675 W North Ave
Suite 202
Melrose Park, IL 60160-1634

Phone

(708) 681-7905

Fax

(708) 460-1117

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles B Johnston, M.D.

Title

President

Phone

(708) 681-7905

Specialties & licenses 2

Addresses

Other names 1

• Private Practice of River Forest Doing business as

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1407000177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620379",
            "telephone_number": "708-460-9833",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 202",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-681-7905",
            "fax_number": "708-460-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B JOHNSTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-681-7905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036078749",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036078749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private Practice of River Forest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Women
• Cepamerica Illinois LLP
• Cepamerica Illinois LLP
• Gretta Elizabeth Chamberlain
• Bohdan Charkewycz, M.D.
• Alyssa Charmelo
• Vijaya Laxmi Cheethirala, DMD
• Shuyi Chen
• Lily Cherny, CRNA
• Chiropractic Connection LTD

• Internal Medicine Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.