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Niva M Lubin Johnson, MD

Internal Medicine in Chicago, IL. Individual provider (NPI-1).

NPI number1679523716
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1679523716
Entity type
Individual (NPI-1)
Name
Niva M Lubin Johnson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 11, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036072152ILYes

Practice location

8541 S State St
Suite 1
Chicago, IL 60619-5665

Phone 773-488-2200

Mailing address

3601 W 183rd St
Hazel Crest, IL 60429-2409

Phone 708-957-7623 · Fax 708-957-7948

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