Individual
DR. KATIE LYNNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, LAC
Contact information
Practice address
3381 W MAIN ST, STE 1, ST CHARLES, IL 60175-1008
(630) 903-5038
Mailing address
3381 W MAIN ST, STE 1, ST CHARLES, IL 60175-1008
(630) 903-5038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-011401
IL
171100000X
Acupuncturist
198-001079
IL
Other
Enumeration date
12/24/2009
Last updated
10/20/2015
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