Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristina Ann Johnson, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1841587334

Kristina Ann Johnson, DO is a Family Practice in Evergreen Park, Illinois. Qualified in 2011, 15 years ago. Practices with Park Primary Care Ltd, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

9760 S Kedzie Ave Ste 2
Evergreen Park, IL 60805-3182
Phone: (708) 423-8150
Fax: (708) 423-8152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 036135368 (IL)

Record details

NPI number1841587334
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 5, 2011
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address9760 S Kedzie Ave Ste 2, Evergreen Park, IL 60805-3182

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Park Primary Care Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare