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1093378986
TRUDY JEAN JOHNSON
CHICAGO, IL
NPI
1093378986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: IL 209018871)
Enumeration Date
2019-04-17
Last Update Date
2019-08-23
Business Address
TRUDY JEAN JOHNSON PNP
5841 S MARYLAND AVE # MC1145
CHICAGO, IL 60637-1443
Phone number: 773-702-6681
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Mailing Address
TRUDY JEAN JOHNSON PNP
150 HARVESTER DR STE 300
BURR RIDGE, IL 60527-5965
Phone number: 708-305-2460
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