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

Dr. Ryan Matthew Johnson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851970693

Dr. Ryan Matthew Johnson, MD is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
Specialties on file
2
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: (804) 304-8541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.078630 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851970693
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

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