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

Mr. Peter J. Johnson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053517151

Mr. Peter J. Johnson, MD is an Obstetrics/Gynecology in Elk Grove Village, Illinois. Qualified in 2007, 19 years ago. Practices with Bonaventure Medical Foundation LLC, a 165-clinician group and accepts Medicare assignment. Licensed in Hawaii and Illinois.

Years since qualifying
19
Licensed in
HI, IL
In the registry since
2007
Specialties on file
2
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

800 Biesterfield Rd 2010
Elk Grove Village, IL 60007-3361
Phone: (847) 981-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036127758 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MDR5274 (HI)

Record details

NPI number1053517151
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Bonaventure Medical Foundation Llc — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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