| Doctor Name: | CAROLYN LEE JOHNSON |
| NPI Number: | 1285608307 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP, APN |
| License Number: | |
| Business Practice Address: | 22285 Pepper Rd. Suite 111 Lake Barrington, IL - 60010 |
| Business Phone Number: | 8473827330 |
| Business Fax Number: | |
| Mailing Address: | 200 1st St, CRYSTAL LAKE |
| State: | IL |
| Postal Code: | 600144324 |
| Phone Number: | 8155317403 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |