IndividualActive
Kristina Johnson, D.O.
NPI 1841587334 · Sports Medicine (Family Medicine) Physician · Evergreen Park, IL
Provider details
- NPI number
- 1841587334
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 036135368 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9760 S Kedzie Ave Ste 2
Evergreen Park, IL 60805-3182
Phone: (708) 423-8150
Fax: (708) 423-8152
Approximate (ZIP-level) locationGet directions
Mailing address
9760 S Kedzie Ave Ste 2
Evergreen Park, IL 60805-3182
Registry dates
- Enumerated
- 2011-07-05
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.