Active NPI
Johnson Medical Services S.C.
- Family Medicine Physician
- Winfield, IL
National Provider Identifier
1730625500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JOHNSON MEDICAL SERVICES S.C.
- Practice address
- 27 W 132 Barnes Ave/
Winfield, IL 60190 - Phone
- (630) 379-9759
- Fax
- (630) 933-1933
- NPI assigned
- Jan 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Taylor Johnson, D.O.
- Title
- President/Owner
- Phone
- (630) 379-9759
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
27 W 132 Barnes Ave/
Winfield, IL 60190
Mailing address
27W132 Barnes Ave
Winfield, IL 60190-1063
Phone (630) 379-9759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036050297 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598832000000",
"number": "1730625500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27W132 BARNES AVE",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901063",
"telephone_number": "630-379-9759",
"fax_number": "630-933-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 W 132 BARNES AVE/",
"city": "WINFIELD",
"state": "IL",
"postal_code": "60190",
"telephone_number": "630-379-9759",
"fax_number": "630-933-1933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON MEDICAL SERVICES S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-17",
"last_updated": "2020-08-31",
"certification_date": "2020-08-27",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "TAYLOR",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "630-379-9759",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036050297",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.