Individual
DR. ROBERT B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3218
(847) 573-2802
(847) 573-2837
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
213614
NY
207RC0000X
Cardiovascular Disease Physician
Primary
036-121148
IL
207RC0000X
Cardiovascular Disease Physician
213614
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01955022
—
NY
Enumeration date
04/25/2006
Last updated
06/04/2025
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