Individual
KATLYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
50 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3223
(847) 718-9201
Mailing address
4547 N KARLOV AVE, CHICAGO, IL 60630-4401
(773) 383-9708
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005233
IL
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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