# NORTHWEST RHEUMATOLOGY SPECIALISTS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073623872
- **Authorized official:** BRUCE JOHNSON MD (PHYSICIAN PARTNER)
- **Authorized official phone:** (847) 364-0800

## Contact information

- **Practice address:** 800 W BIESTERFIELD RD, STE 4003, ELK GROVE VILLAGE, IL 60007-7306
- **Practice address phone:** (847) 364-0800
- **Practice address fax:** (847) 364-0854
- **Mailing address:** 800 BIESTERFIELD RD STE 4003, ELK GROVE VILLAGE, IL 60007-3371
- **Mailing address phone:** (847) 364-0800
- **Mailing address fax:** (847) 364-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 036053094 | IL | — |
| 207RR0500X | Rheumatology Physician | 036078438 | IL | — |
| 207RR0500X | Rheumatology Physician | 036085718 | IL | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 02/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036053094 | — | IL |