JOHNNIE DOMINICA JOHNSON

LONG GROVE, IL
NPI1043601057
Professional NameJOHNNIE DOMINICA JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  277001345)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209012407)
Enumeration Date2015-02-12
Last Update Date2023-07-25
Business Address
JOHNNIE DOMINICA JOHNSON FNP
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047-5292
Phone number: 847-719-2220
Mailing Address
JOHNNIE DOMINICA JOHNSON FNP
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047-5292
Phone number: 847-719-2220