Johnson, Kisha D

Johnson, Kisha D is an individual health care provider with primary practice located at 1750 W Harrison St 1507 Jelke, Chicago IL 60612-3825. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Johnson, Kisha D can be contacted via phone (312) 942-6298.

Contact Information

Primary practice address
1750 W Harrison St 1507 Jelke Chicago IL 60612-3825
Phone: (312) 942-6298
Fax: (312) 942-2857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1194704874
LBN Legal business name Johnson, Kisha D
Credentials MD, CGC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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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