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

Dr. Evan Dean Johnson, MD

Individual provider Dermatology Physician · NPI 1407005218

Dr. Evan Dean Johnson, MD is a Dermatology in St Charles, Illinois. Qualified in 2005, 21 years ago. Practices with Lawrence L. Johnson, MD, SC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2008
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

3310 W Main St Ste 115
St Charles, IL 60175-4220
Phone: (630) 232-2885
Fax: (630) 232-9936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036.121856 (IL)

Record details

NPI number1407005218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 17, 2008
Last updated in NPPESApril 3, 2017
Mailing address3310 W. Main Street, Suite 115, St. Charles, IL 60175-4220

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Lawrence L. Johnson, M.D., S.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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