JEANNE M JOHNSTON D.O NPI 1114071248

NPI Information

  • NPI: 1114071248
  • Provider Name: JEANNE M JOHNSTON, D.O
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 626 BETHANY RD
    DEKALB, IL
    ZIP 60115
  • Phone: (815) 756-1521

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NPI Details

Jeanne M Johnston, D.O is an emergency medicine in Dekalb, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Jeanne M Johnston, D.O NPI is 1114071248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

626 BETHANY RD
DEKALB, IL
ZIP 60115-939
Phone: (815) 756-1521

The enumeration date for this NPI number is 1/23/2007 and was last updated on 11/20/2008.

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
1207P00000XEmergency Medicine036071485ILLINOISYes

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
1R03779MEDICARE PINILLINOIS
2036071485MEDICAIDILLINOIS
3105167OTHERILLINOISHEALTH ALLIANCE - VWCH
4K13717MEDICARE PINILLINOIS
5P00315345MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR MEDICARE - VWCH
6099051OTHERILLINOISHEALTH ALLIANCE - KCH
7C42744MEDICARE UPINILLINOIS
8K13716MEDICARE PINILLINOIS

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: 11/21/2025

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