Individual
JULIE RENAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
70 E LAKE ST, SUITE 630, CHICAGO, IL 60601-5959
(773) 991-9455
Mailing address
6031 S ELLIS AVE, W531, CHICAGO, IL 60637-2348
(773) 991-9455
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001219
IL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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