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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KATHLEEN JOHNSON
NPI 1831177559
Radiology - Diagnostic Radiology in Peoria, IL

Active since January 03, 2006
5409 N KNOXVILLE AVE, PEORIA, IL 61615(309) 682-7750(309) 682-7786 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Johnson NPPES

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

KATHLEEN JOHNSON (NPI 1831177559) is an individual diagnostic radiology provider in Peoria, Illinois and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1831177559
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKATHLEEN JOHNSON
Location Address5409 N KNOXVILLE AVEPeoria, IL 61615
Mailing AddressPo Box 3853Peoria, IL 61612-3853
Phone(309) 682-7750
Fax(309) 682-7786
Sole ProprietorNo
Enumeration DateJanuary 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1831177559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5409 N KNOXVILLE AVE, Peoria, IL 61615
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Other Identifiers 6

OtherIL0100IL · John Deere
Other1431758IL · Acr
Other239090IL · Healthlink
Other058975IL · Health Alliance
Other0007222342IL · Blue Cross Blue Shield
Medicaid036065748-1IL

Other Providers at the Same Location NPPES 3

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

STEVEN ROAT
Radiology (Diagnostic Radiology)
5409 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 682-7750
DR. GEORGE GENTRY MD
Radiology (Diagnostic Radiology)
5409 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 682-7750
TRI COUNTY RADIOLOGY
Radiology (Vascular & Interventional Radiology)
5409 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 682-7750

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 Kathleen Johnson's NPI number?

The NPI number for Kathleen Johnson is 1831177559. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Kathleen Johnson located?

Kathleen Johnson practices at 5409 N Knoxville Ave, Peoria, IL 61615. The listed phone number is (309) 682-7750.

What is Kathleen Johnson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kathleen Johnson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.