Individual
DR. KARIN M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1110 N WASHINGTON ST, NAPERVILLE, IL 60563-2767
(630) 369-3690
(630) 801-1090
Mailing address
1110 N WASHINGTON ST, NAPERVILLE, IL 60563-2767
(630) 369-3690
(630) 801-1090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005988
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2225975
BCBS
IL
01
—
364365810
TAX ID
IL
Enumeration date
12/16/2006
Last updated
10/12/2023
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