Kenneth Johnson, L.C.P.C

NPI 1649531542 · on the registry since 2012

Practice

Address: 5710 N Broadway St
Chicago, IL 60660
Phone: (872) 235-0626
Organisation at this address: Tapestry 360 Health
Genoa Healthcare Llc
Community Counseling Centers Of Chicago
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois