Individual
KAREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7110 W 127TH ST STE 130, PALOS HEIGHTS, IL 60463-1579
(708) 923-6300
Mailing address
2548 SYCAMORE DR, DYER, IN 46311-2257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041354633
IL
363LF0000X
Family Nurse Practitioner
Primary
209008590
IL
Other
Enumeration date
08/27/2018
Last updated
12/23/2021
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