Peter J. Johnson, MD
Obstetrics & Gynecology in Elk Grove Village, IL. Individual provider (NPI-1).
NPI number1053517151
StatusActive
Last updated in NPPESMar 18, 2021
Details
- NPI
- 1053517151
- Entity type
- Individual (NPI-1)
- Name
- Mr. Peter J. Johnson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2007
- Certification date
- Mar 18, 2021
- Last updated
- Mar 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036127758 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | MDR5274 | HI |
Practice location
800 Biesterfield Rd2010
Elk Grove Village, IL 60007-3361
Phone 847-981-6500
Mailing address
800 Biesterfield Rd2010
Elk Grove Village, IL 60007-3361
Phone 847-981-6500
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