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GREGORY L JOHNSON M.D.
NPI 1417922857
Family Medicine - Geriatric Medicine in Peoria, IL

Active since February 21, 2006
900 MAIN ST, SUITE 100, PEORIA, IL 61602(309) 672-4908(309) 672-4272 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory L Johnson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY L JOHNSON M.D. (NPI 1417922857) is an individual geriatric medicine provider in Peoria, Illinois, licensed in Illinois (036115494) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1417922857
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameGREGORY L JOHNSONCredential: M.D.
Location Address900 MAIN ST, SUITE 100Peoria, IL 61602-1005
Mailing Address900 Main St, Suite 100Peoria, IL 61602-1005 · (309) 672-4908 · Fax (309) 672-4272
Phone(309) 672-4908
Fax(309) 672-4272
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJanuary 31, 2013
✔ NPI 1417922857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in IL · 036115494
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
900 MAIN ST, Peoria, IL 61602
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Other Identifiers 1

Medicare ID-Type UnspecifiedPENDING

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN MARGARET KYLE M.D.
Psychiatry & Neurology (Psychiatry)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
CATHERINE J KILBOURN LCSW
Social Worker (Clinical)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
DR. JENNIFER REBECCA SHIBLEY PSY.D., M.S.
Psychologist (Clinical)
900 MAIN ST, SUITE 780
PEORIA, IL 61602
Peoria County (309) 672-5946
RYAN FAIRCHILD
Physical Therapist
900 MAIN ST, STE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
CRYSTAL CORZATT PT
Physical Therapist
900 MAIN ST, SUITE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
LYNNE M JALOVEC, MD, SC
Surgery
900 MAIN ST, SUITE 310
PEORIA, IL 61602
Peoria County (309) 672-4174
MID ILLINI SURGICAL ASSOCIATES SC
Surgery
900 MAIN ST, SUITE 530
PEORIA, IL 61602
Peoria County (309) 672-5975
MICHAEL D. CASHMAN, M.D., S.C.
Internal Medicine (Gastroenterology)
900 MAIN ST, SUITE 490
PEORIA, IL 61602
Peoria County (309) 671-8313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Johnson's NPI number?

The NPI number for Gregory Johnson is 1417922857. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Gregory Johnson located?

Gregory Johnson practices at 900 Main St Suite 100, Peoria, IL 61602. The listed phone number is (309) 672-4908.

What is Gregory Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Gregory Johnson was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.