Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alfred Johnson, MD

Individual provider Family Medicine Physician · NPI 1144316431

Dr. Alfred Johnson, MD is a Family Practice in East Saint Louis, Illinois. Graduated from University of Mississippi School of Medicine in 1984, 42 years ago. Practices with Southern Illinois Healthcare Foundation Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
42
Trained at
University of Mississippi School of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6010 Bond Ave
East Saint Louis, IL 62207-2328
Phone: (618) 337-8153
Fax: (618) 337-8905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036086206 (IL)

Record details

NPI number1144316431
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address6010 Bond Ave, East Saint Louis, IL 62207-2328

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Southern Illinois Healthcare Foundation Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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