IndividualActive
Heather Bouma-Johnston, MD
NPI 1376172049 · Complex Family Planning Physician · Chicago, IL
Provider details
- NPI number
- 1376172049
- Entity type
- Individual
- Primary specialty
- Complex Family Planning PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036170327 (IL)
Mailing address
1620 W Harrison St
Chicago, IL 60612-3801
Registry dates
- Enumerated
- 2020-04-05
- Last updated
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.