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Contact Information

DONNA L JOHNSON MD SC
7257 S JEFFERY BLVD
CHICAGO, IL60649-3014
 Phone: 773-493-7040
 Fax: 773-493-8837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for DONNA L JOHNSON MD SC

NPI # 1538342134
LBN Legal business name DONNA L JOHNSON MD SC
Authorized official DONNA JOHNSON - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2007
Last updated 03/28/2008 - About 18 years ago
Identifiers
IL License # 036055866
IL Medicaid 036055856
IL Other 21608627 BCBS
IL Other 180030052 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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