Ninah Clegg-Johnson, DO
Ninah Clegg-Johnson, DO is an Internal Medicine in Peoria, Illinois. Graduated from Marian University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Heartland Community Health Clinic, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 9
- Trained at
- Marian University College of Osteopathic Medicine
- Licensed in
- IL
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
530 NE Glen Oak AvePeoria, IL 61637-0001
Phone: (309) 655-3863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 125.070646 (IL) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 125.070646 (IL) |
Record details
| NPI number | 1568992873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | June 19, 2017 |
| Last updated in NPPES | January 14, 2021 |
| Certification date | January 14, 2021 |
| Mailing address | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Also practises | PEDIATRIC MEDICINE |
| Medical school | MARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 2017 (9 years in practice) |
| Group practice | Heartland Community Health Clinic — 51 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Peoria
-
Umesh Chatrath, MD
Dept Of Pediatrics 320 E Armstrong, Peoria, IL 61603 · (309) 624-9587
-
Dr. Sandhya Chaudhari, DO
530 NE Glran Oak Ave, Peoria, IL 61637-0001 · (810) 814-7445
-
Children's Hospital of Illinois
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (800) 599-7337
-
Amy Christison, MD
7801 N Knoxville Ave, Peoria, IL 61614-2076 · (309) 692-6088
-
Trina Croland
420 NE Glen Oak Ave, Peoria, IL 61603-3105 · (309) 627-5673
-
Marte Linn Deppermann, MD
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-2274
-
Dr. Benali Girish Deshpande, MD
420 NE Glen Oak Ave Ste 201, Peoria, IL 61603-3105 · (888) 627-5673
-
Dr. Kody Duane Dormire, DO
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-4940