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Contact Information

KATHERINE B JOHNSON, MD
2160 S 1ST AVE
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KATHERINE B JOHNSON · (Female)

NPI # 1942400924
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2007
Last updated 04/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036139574
  • NC License # 2011-00519
Hospital affiliation(s)
  • LOYOLA UNIVERSITY MEDICAL CENTER - (Acute Care)
    2160 S 1ST AVENUE
    MAYWOOD, IL 60153
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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