Elaine Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146006078 Issued in IL

Practice address

818 E Grass Lake Rd
Lake Villa, IL 60046-7470

Phone

(847) 838-8639

NPI assigned

Sep 4, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1447864665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 BRIDLE CT",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600734130",
            "telephone_number": "847-912-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E GRASS LAKE RD",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600467470",
            "telephone_number": "847-838-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen L Hufnagle, D.C.
• Mitchell Alin Jackson, MD
• Jacksoneye SC
• Deana Lynn Jaros, DT
• Danielle Jin, PHARMD
• Victor Jorden, M.D., M.P.H.
• Terryll Eli Joy, MD
• Kathryn Kachoris, LCSW
• John Kamilis, LCPC
• Kathryn Kane, LP, RPSGT, PHD

• Speech-Language Pathologist in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.