Peter E Johnson MD SC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PETER E JOHNSON MD SC

Practice address

8901 W Golf Rd
#204
Des Plaines, IL 60016

Phone

(847) 296-5470

Fax

(847) 296-5474

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Peter E Johnson, MD

Title

President

Phone

(847) 296-5470

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1841256971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W GOLF RD",
            "address_2": "#204",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-296-5470",
            "fax_number": "847-296-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W GOLF RD",
            "address_2": "#204",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-296-5470",
            "fax_number": "847-296-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER E JOHNSON MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-296-5470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "2487670",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "4138183004",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "1630266",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgar Samuel Perez, O. D.
• Katrina Shanise Perez
• Perfect Storm Chiropractic, LLC
• Marina Peri, MA, CCC-SLP/L
• Nicole Maria Peszko
• Peter J Kiefer MD LTD
• Peter M. Durbin, D.D.S., M.S., P.C.
• Lisy Joy Peters, NP
• Kathleen C Petersen, LCSW
• Djuro Petkovic, M.D.

• Plastic Surgery Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.