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

Individual provider Internal Medicine Physician · NPI 1740938133

Dr. Kasey Bryan Johnson, MD is an Internal Medicine Physician in Maywood, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
3
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

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (888) 584-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3249 Oak Park Ave, Berwyn, IL 60402-3429 — (509) 553-9172

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 125.082751 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.082751 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740938133
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address3249 Oak Park Ave, Berwyn, IL 60402-0715

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