Individual
KAITLIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-3800
Mailing address
2734 W BELMONT AVE APT 4E, CHICAGO, IL 60618-6074
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041.428258
IL
363L00000X
Nurse Practitioner
Primary
209.025863
IL
Other
Enumeration date
02/15/2022
Last updated
10/10/2022
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