Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coleen Johnson, MD

Individual provider General Acute Care Hospital · NPI 1235513664

Coleen Johnson, MD is a Family Practice in Chicago, Illinois. Qualified in 2014, 12 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1501 S California Ave Dept OF Family Medicine L1026
Chicago, IL 60608-1732
Phone: (708) 406-5929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 125066897 (IL)

Record details

NPI number1235513664
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 15, 2015
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021
Mailing address1501 S California Ave, Department Of Family Medicine L1026, Chicago, IL 60608-1732

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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