Individual
KRISTINA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9760 S KEDZIE AVE STE 2, EVERGREEN PARK, IL 60805-3182
(708) 423-8150
(708) 423-8152
Mailing address
9760 S KEDZIE AVE STE 2, EVERGREEN PARK, IL 60805-3182
(708) 423-8150
(708) 423-8152
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036135368
IL
Other
Enumeration date
07/05/2011
Last updated
07/10/2024
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