Individual
DR. KIMBERLY LOIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 E 51ST ST, CHICAGO, IL 60615-2400
(312) 572-2680
(312) 572-2686
Mailing address
307 E 107TH ST, CHICAGO, IL 60628-3624
(773) 288-8805
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-094274
IL
Other
Enumeration date
08/02/2006
Last updated
04/26/2021
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