DR. GERALD TIMOTHY JOHNSON M.D. NPI 1083637615

NPI Information

  • NPI: 1083637615
  • Provider Name: DR. GERALD TIMOTHY JOHNSON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 5101 WILLOW SPRINGS RD
    LA GRANGE, IL
    ZIP 60525
  • Phone: (708) 352-1200

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NPI Details

DR. Gerald Timothy Johnson, M.D. is a diagnostic radiology radiology in La Grange, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Gerald Timothy Johnson, M.D. NPI is 1083637615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5101 WILLOW SPRINGS RD
LA GRANGE, IL
ZIP 60525-600
Phone: (708) 352-1200

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E18425MEDICARE UPINILLINOIS
2L84081MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3L84080MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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