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NPI Code Detail

MEDICARE: MEREDITH KATHERINE MARTIN-JOHNSTON D.O., MPH

MEDICARE:   MEREDITH KATHERINE MARTIN-JOHNSTON  D.O., MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036-121044IL

General Provider Information

NPI Number : 1275783300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH KATHERINE MARTIN-JOHNSTON D.O., MPH
Provider Business Mailing Address
First Line : 2500 W HIGGINS RD STE 380
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-7220
Country : US
Telephone Number : 847-558-2822
Fax Number : 833-764-3716
Provider Business Practice Location Address
First Line : 2500 W HIGGINS RD STE 380
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-7220
Country : US
Telephone Number : 224-475-1223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2008
Last Update Date : 03/12/2026

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