Most Relevant Information
Provider Data
| NPI Number: | 1003823881 |
| Provider Name: | KIMBERLY LOIS JOHNSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 036-094274 |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 04/26/2021 |
Provider Practice Location
500 E 51ST ST
CHICAGO
IL
606152400
Practice Location Phone/Fax
| Phone: | 3125722680 |
| Fax: | 3125722686 |
Provider Mailing Location
307 E 107TH ST
CHICAGO
IL
606283624
Provider Mailing Phone/Fax
| Phone: | 7732888805 |
| Fax: |