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

Matthew Russell Johnsom, EMT

Individual provider Basic Emergency Medical Technician · NPI 1225969892

Matthew Russell Johnsom, EMT is a Basic Emergency Medical Technician in Loves Park, Illinois. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
EMT — Emergency Medical Technician
Provides emergency care before and during transport to hospital.

See every abbreviation used in this directory →

Practice location Address checks out

12318 Empire St
Loves Park, IL 61111-8957
Phone: (815) 378-4556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Basic Emergency Medical Technician (primary) Taxonomy 146N00000X

Record details

NPI number1225969892
Entity typeIndividual (Type 1)
GenderMale
Credentials EMT
Sole proprietorYes
NPI enumeratedMay 25, 2026
Last updated in NPPESMay 25, 2026
Certification dateMay 24, 2026