Provider Demographics
NPI:1275783300
Name:MARTIN-JOHNSTON, MEREDITH KATHERINE (DO, MPH)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:KATHERINE
Last Name:MARTIN-JOHNSTON
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BARRINGTON RD STE 335
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1064
Mailing Address - Country:US
Mailing Address - Phone:847-839-0900
Mailing Address - Fax:
Practice Address - Street 1:235 S RAND RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2273
Practice Address - Country:US
Practice Address - Phone:847-839-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-121044207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology