Organization
NORTHWEST RHEUMATOLOGY SPECIALISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JOHNSON MD (PHYSICIAN PARTNER)
(847) 364-0800
Entity
Organization
Contact information
Practice address
800 W BIESTERFIELD RD, STE 4003, ELK GROVE VILLAGE, IL 60007-7306
(847) 364-0800
(847) 364-0854
Mailing address
800 BIESTERFIELD RD STE 4003, ELK GROVE VILLAGE, IL 60007-3371
(847) 364-0800
(847) 364-0808
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
036053094
IL
207RR0500X
Rheumatology Physician
036078438
IL
207RR0500X
Rheumatology Physician
Primary
036085718
IL
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053094
—
IL
Enumeration date
08/30/2006
Last updated
02/15/2026
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