Johnson, Karin M

Johnson, Karin M is an sole proprietor health care provider with primary practice located at 1110 N Washington St , Naperville IL 60563-2767. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Karin M can be contacted via phone (630) 369-3690.

Contact Information

Primary practice address
1110 N Washington St Naperville IL 60563-2767
Phone: (630) 369-3690
Fax: (630) 801-1090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071005988 Illinois

Profile Details

NPI number 1699837310
LBN Legal business name Johnson, Karin M
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2006
Last updated Oct 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699837310 NPPES
Illinois Other 2225975 BCBS
Illinois Other 364365810 BCBS

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