Individual provider · Type 1 NPI
Matthew Russell Johnsom, EMT
Basic Emergency Medical Technician · Loves Park, IL
NPI number
1225969892
Active
Practice location
12318 Empire St
Loves Park, IL 61111-8957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Basic Emergency Medical Technician Primary | 146N00000X | None listed |
Basic Emergency Medical Technician: A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
About NPI 1225969892
Matthew Russell Johnsom, EMT's National Provider Identifier is 1225969892, issued on May 25, 2026. The primary taxonomy on file is Basic Emergency Medical Technician (146N00000X), and the practice location is in Loves Park, IL. The record was last updated on May 25, 2026.