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Deactivated NPI 1144271610 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Johnson , MD

Internal Medicine • La Grange, 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. Robert Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 12, 2006
NPI Deactivation Date June 10, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Johnson, MD was a registered Internal Medicine practicing in La Grange, IL. Throughout an active medical career spanning 13 years, Dr. Johnson provided care at the practice location at 5101 WILLOW SPRINGS RD until profile deactivation on 2019-06-10.

Practice Location & Contact Primary Location

Practice Address

5101 Willow Springs Rd

La Grange, IL 605252600

Telephone 7082454073
Fax 7082455614
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in La Grange, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
6 Specialists

Practicing in La Grange, IL (7544 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 36067944

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Diane Nurceski , APN-CNP

Nurse Practitioner

NPI 1023125952

APNCNP

Dr. Peter Norvid , MD

Internal Medicine - Geriatric Medicine

NPI 1508824111

Doctor of Medicine (M.D.)

Patricia Mccann , APN

Nurse Practitioner - Adult Health

NPI 1588957013

Advanced Practice Nurse

Dr. Louis Waldman , MD

Internal Medicine - Geriatric Medicine

NPI 1588981526

Doctor of Medicine (M.D.)

Marie Carcellar , CNP

Nurse Practitioner

NPI 1659656486

Certified Nurse Practitioner

Michelle Buikema , NP-C

Nurse Practitioner

NPI 1760757280

Nurse Practitioner (Certified)

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 June 10, 2019

Record deactivated on June 10, 2019

NPI Profile Active February 11, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2013

Registered at 5101 WILLOW SPRINGS RD, LA GRANGE, IL 605252600 (Tel: 7082454073)

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Updated Business Mailing Address February 11, 2013

Registered at 5101 WILLOW SPRINGS RD, LA GRANGE, IL 605252600 (Tel: 7082454073)

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Provider Name / Credentials Updated February 11, 2013

Recorded as ROBERT JOHNSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2013

Internal Medicine (License #36067944 in IL)

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Initial NPI Registration & Enumeration May 12, 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: 1144271610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: February 11, 2013
Deactivation Date: June 10, 2019

Mailing Address

5101 Willow Springs Rd

La Grange, IL 605252600

Phone: 7082454073

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.