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Deactivated NPI 1922184225 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey Glen Johnson , DC

Chiropractor • Gurnee, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeffrey Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 29, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Johnson, DC was a registered Chiropractor practicing in Gurnee, IL. Throughout an active medical career spanning 16 years, Dr. Johnson provided care at the practice location at 20 TOWER CT until profile deactivation on 2022-01-28.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

20 Tower Ct
Suite B

Gurnee, IL 600315711

Telephone 8476623410
Fax 8476623477
Associated Practice Facility / Clinic
🏢 Lake Shore Gastroenterolgy Sc Facility NPI 1215063144

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Gurnee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
17 Specialists

Practicing in Gurnee, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
739 54 $50.00 $41.75
98940 Chiropractic manipulative treatment, 1-2 spinal regions
107 11 $35.00 $29.27

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 38-3909

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Fred Rosenberg , MD

Internal Medicine - Gastroenterology

NPI 1003817180

Doctor of Medicine (M.D.)

Dr. Walter Glaws , DO

Internal Medicine - Gastroenterology

NPI 1104828532

Doctor of Osteopathic Medicine (D.O.)

Dr. Everett Kirch , MD

Internal Medicine - Gastroenterology

NPI 1225030687

Doctor of Medicine (M.D.)

Dr. Kevin Liebovich , MD

Internal Medicine - Gastroenterology

NPI 1235131673

Doctor of Medicine (M.D.)

Dr. Cynthia Wait , MD

Internal Medicine - Gastroenterology

NPI 1447252804

Doctor of Medicine (M.D.)

NPI 1699785204

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 20 TOWER CT, SUITE B, GURNEE, IL 600315711 (Tel: 8476623410)

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Updated Business Mailing Address July 08, 2007

Registered at 20 TOWER CT, SUITE B, GURNEE, IL 60031 (Tel: 8476623410)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY JOHNSON, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #38-3909 in IL)

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Initial NPI Registration & Enumeration October 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922184225
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2006
Last Update: July 08, 2007
Deactivation Date: January 28, 2022

Mailing Address

20 Tower Ct, Suite B

Gurnee, IL 60031

Phone: 8476623410

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.