IndividualActive
Abigail Johnson
NPI 1861737165 · Registered Dietitian · Kankakee, IL
Provider details
- NPI number
- 1861737165
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 164.005786 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
500 W Court St
Kankakee, IL 60901-3661
Phone: (815) 937-2454
Approximate (ZIP-level) locationGet directions
Mailing address
500 W Court St
Kankakee, IL 60901-3661
Registry dates
- Enumerated
- 2012-11-28
- Last updated
- 2012-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.