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Individual

DR. JANIS CLARK JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
424 IOWA ST, OAK PARK, IL 60302-2230
(708) 848-0250
(708) 524-9126
Mailing address
424 IOWA ST, OAK PARK, IL 60302-2230
(708) 848-0250
(708) 524-9126

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL

Other

Enumeration date
12/04/2006
Last updated
07/09/2007
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