Kristen Marie Johansen, D.C.

NPI #1992826119 in Worth, Illinois

Provider Information

NPI Number: 1992826119
Entity Type: Individual
Name: Kristen Marie Johansen, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 3, 2007
Last Updated: Oct 15, 2009

Practice Location

Address: 6852 W 111TH ST
City: Worth
State: Illinois
ZIP Code: 60482-1823
Phone: (708) 448-3818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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