Individual
DR. KRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
676 N SAINT CLAIR ST STE 1100, CHICAGO, IL 60611-2954
(312) 695-5060
Mailing address
2438 N KIMBALL AVE APT 1, CHICAGO, IL 60647-2402
(815) 326-2500
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.010951
IL
Other
Enumeration date
03/13/2023
Last updated
10/23/2023
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