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Deactivated NPI 1972941573 Deactivated / Inactive NPI Female Practitioner

Shawn Johnson , COSMETOLOGIST

Specialist • North Chicago, 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, Shawn Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2013
NPI Deactivation Date December 09, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Shawn Johnson, COSMETOLOGIST was a registered Specialist practicing in North Chicago, IL. Throughout an active medical career spanning 7 years, Shawn Johnson provided care at the practice location at 1911 SHERMAN AVE until profile deactivation on 2020-12-09.

Practice Location & Contact Primary Location

Practice Address

1911 Sherman Ave
Unit 1f

North Chicago, IL 600642317

Telephone 8473633689

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in North Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
5 Specialists

Practicing in North Chicago, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 011289338

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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 December 09, 2020

Record deactivated on December 09, 2020

NPI Profile Active September 12, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2013

Registered at 1911 SHERMAN AVE, UNIT 1F, NORTH CHICAGO, IL 600642317 (Tel: 8473633689)

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Updated Business Mailing Address September 12, 2013

Registered at 1911 SHERMAN AVE, UNIT 1F, NORTH CHICAGO, IL 600642317 (Tel: 8473633689)

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Provider Name / Credentials Updated September 12, 2013

Recorded as SHAWN JOHNSON, COSMETOLOGIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2013

Specialist (License #011289338 in IL)

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Initial NPI Registration & Enumeration June 05, 2013

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: 1972941573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2013
Last Update: September 12, 2013
Deactivation Date: December 09, 2020

Mailing Address

1911 Sherman Ave, Unit 1f

North Chicago, IL 600642317

Phone: 8473633689

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

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