Individual
REBECCA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 535-8857
Mailing address
660 NORTH WESTMORELAND RD, LAKE FOREST, IL 60045-1019
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246.000122
IL
170300000X
Genetic Counselor (M.S.)
247.000035
IL
Other
Enumeration date
10/12/2011
Last updated
03/17/2018
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