Individual
JASMINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
259 E ERIE ST FL 16, CHICAGO, IL 60611-2987
(312) 695-7070
(312) 695-2543
Mailing address
259 E ERIE ST FL 16, CHICAGO, IL 60611-2987
(312) 695-7070
(312) 695-2543
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006946
IL
Other
Enumeration date
09/10/2018
Last updated
12/08/2022
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