Kevin Johnson, MD
Kevin Johnson, MD is a provider specialising in Student in an Organized Health Care Education/Training Program in La Grange, IL, registered under NPI 1003221680.
Getting there
Here is what surrounds this office in La Grange, based on OpenStreetMap data collected Sep 12, 2026. Parking is available about 426 ft away.
Getting here and what is nearby
Parking 322 ft ~2 min
Parking 364 ft ~2 min
Parking 426 ft ~2 min
Convenience Shell 0.43 mi ~9 min
1422 West 55th Avenue, Countryside 60525
Gas station Shell 0.44 mi ~9 min
Restaurant Auntie Anne's 0.48 mi ~10 min
Restaurant Subway 0.49 mi ~10 min
4700 Gilbert Avenue, Western Springs 60558
Mo-Fr 07:00-21:00; Sa 07:00-19:00; Su 09:00-18:00
Restaurant Highland Queen 0.49 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 125065696 | IL | Student in an Organized Health Care… primary |
This provider holds licence 125065696 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Family Practice
- PAC ID
- 0042436420
- Enrollment ID
- I20140721000679
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Student in an Organized Health Care Education/Training Program covers
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003221680 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 23, 2014 |
| Last updated | Jun 23, 2014 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | MD |
| Practice address |
5101 WILLOW SPRINGS RD 2ND FLOOR La Grange, IL 60525 (708) 245-8900 Fax (708) 245-5604 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 2 | 1 | 6 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 2 | 2 | 6 | 7 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.