Johnson, Robert B

Johnson, Robert B is an individual health care provider with primary practice located at 755 S. Milwaukee Avenue, Suite 263 , Libertyville IL 60048-3266. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Johnson, Robert B can be contacted via phone (847) 918-1500.

Contact Information

Primary practice address
755 S. Milwaukee Avenue, Suite 263 Libertyville IL 60048-3266
Phone: (847) 918-1500
Fax: (847) 918-1500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 213614 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 213614 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-121148 Illinois

Profile Details

NPI number 1073579397
LBN Legal business name Johnson, Robert B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 15th, 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 1073579397 NPPES
New York MEDICAID 01955022

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