Johnson, Bruce

Johnson, Bruce is an individual health care provider with primary practice located at 800 W Biesterfield Road Suite 4003, Elk Grove Village IL 60007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Johnson, Bruce can be contacted via phone (847) 364-0800.

Contact Information

Primary practice address
800 W Biesterfield Road Suite 4003 Elk Grove Village IL 60007
Phone: (847) 364-0800
Fax: (847) 364-0854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036078438 Illinois

Profile Details

NPI number 1912043621
LBN Legal business name Johnson, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Dec 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912043621 NPPES
Illinois MEDICAID 036078438

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