JACOB EDWARD JOHNSON
NPI 1750278040
Nurse Practitioner - Critical Care Medicine in Park Ridge, IL
NPI Status: Active since June 20, 2025
Contact Information
1775 DEMPSTER ST
PARK RIDGE, IL
ZIP 60068
Phone: (847) 723-2210
- Individual
- Male
- Nurse Practitioner
- Critical Care Medicine
About JACOB JOHNSON
This page provides the complete NPI Profile along with additional information for Jacob Johnson, a provider established in Park Ridge, Illinois with a medical specialization in Nurse Practitioner, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1750278040 assigned on June 2025. The practitioner's primary taxonomy code is 363LC0200X with license number 209032261 (IL). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1750278040
- Provider Name
- JACOB EDWARD JOHNSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1775 DEMPSTER ST PARK RIDGE, IL 60068
- Location Phone
- (847) 723-2210
- Mailing Address
- 1875 DEMPSTER ST STE 625 PARK RIDGE, IL 60068
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-20-2025
- Last Update Date
- 06-20-2025
- Code Navigator
A nurse practitioner (NP) like Jacob Johnson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Critical Care Medicine
- Taxonomy Code
- 363LC0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209032261
- License State
- IL
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 2 | 7 | 8 | 0 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 4 | 7 | 16 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 4 + 7 + 1 + 6 + 0 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750278040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144212671 | SHILPA P. MEHTA M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1316939846 | TARIQ M. MURAD M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1811989387 | ANDREA M. BLUMSTEIN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1336131895 | RAJA M. BAHU M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1366434847 | SANOBAR KHAN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1962494443 | GARY L. KIRSHENBAUM M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1013909563 | SHANTHA S. SREEKANTH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1497747950 | ESTELA D. BLEI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1982696456 | CHERYL S. BRAUN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1245222710 | MICHELE BONIN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1013909597 | WILLIAM D. DWYER M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1568454072 | THOMAS L. MCCAFFREY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1952393498 | JAYARAMA SHETTY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST DELUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1275525727 | YOLANDA P. TRUJILLO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1265424717 | JAMI L. WALLOCH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1326030875 | VINUBHAI J. PATEL M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1235111378 | MAHIN ZIAI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL PARK RIDGE, IL 60068 (847) 723-2210 |
| 1245206655 | DR. ANDREY LEV-WEISSBERG MD Individual | Internal Medicine | 1775 DEMPSTER ST PARK RIDGE, IL 60068 (847) 675-5834 |
| 1538128301 | DR. SURESH HAVALAD M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 1775 DEMPSTER ST PARK RIDGE, IL 60068 (847) 723-5586 |
| 1982643730 | DR. MARNY LEE FETZER M.D. Individual | Emergency Medicine | 1775 DEMPSTER ST PARK RIDGE, IL 60068 (847) 723-5099 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750278040, enumerated in the NPI registry as an "individual" on June 20, 2025
The provider is located at 1775 Dempster St Park Ridge, Il 60068 and the phone number is (847) 723-2210
The provider's speciality is Nurse Practitioner with taxonomy code 363LC0200X with a focus in Critical Care Medicine
This NPI record was last updated on June 20, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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