Individual
SAMANTHA JOAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LDN
Contact information
Practice address
160 N WACKER DR UNIT 201, CHICAGO, IL 60606-1633
(312) 374-5399
Mailing address
1500 LOCUST ST APT 1518, PHILADELPHIA, PA 19102-4315
(385) 214-7976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN009602
PA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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