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Individual

MS. KISHA D JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD, CGC

Contact information

Practice address
1750 W HARRISON ST, 1507 JELKE, CHICAGO, IL 60612-3825
(312) 942-6298
(312) 942-2857
Mailing address
3802 W CONGRESS PKWY, CHICAGO, IL 60624-3101
(410) 908-0683
(312) 942-2857

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary

Other

Enumeration date
01/11/2006
Last updated
07/08/2007
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