Individual
DR. HEATHER ANNE BOUMA-JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 S WOOD ST, CHICAGO, IL 60612-4325
(312) 996-1331
Mailing address
820 S WOOD ST, CHICAGO, IL 60612-4325
(312) 996-1331
Taxonomy
Speciality
Code
Description
License number
State
207VC0300X
Complex Family Planning Physician
Primary
036170327
IL
207VX0000X
Obstetrics Physician
Primary
036170327
IL
Other
Enumeration date
04/05/2020
Last updated
07/27/2026
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