Johansen, Kristian Taylor

Johansen, Kristian Taylor is an individual health care provider with primary practice located at 1114 Lake St , Oak Park IL 60301-1002. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Johansen, Kristian Taylor can be contacted via phone (708) 383-1114.

Contact Information

Primary practice address
1114 Lake St Oak Park IL 60301-1002
Phone: (708) 383-1114
Fax: (312) 648-0155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164008224 Illinois

Profile Details

NPI number 1811515232
LBN Legal business name Johansen, Kristian Taylor
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2020
Last updated Aug 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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