Individual
MRS. KATRINA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
133 E BRUSH HILL RD STE 110, ELMHURST, IL 60126-5659
(630) 946-2250
(630) 946-2484
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60675-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209011252
IL
Other
Enumeration date
09/28/2006
Last updated
10/06/2021
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