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

Dominique Latrice Johnson, DO

Individual provider Family Medicine Physician · NPI 1386218147

Dominique Latrice Johnson, DO is a Family Practice in Chicago, Illinois. Graduated from Michigan State University College of Osteopathic Medicine in 2021, 5 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
5
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
IL, MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

901 E 95th St
Chicago, IL 60619-7861
Phone: (312) 878-9240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-171797 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5151015221 (MI)

Record details

NPI number1386218147
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2021
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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