NICHOLAS JOHNSON

CHICAGO, IL
NPI1316553472
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IL  209021402)
Enumeration Date2020-09-23
Last Update Date2020-09-23
Business Address
NICHOLAS JOHNSON APN
8455 S LUELLA AVE
CHICAGO, IL 60617-1953
Phone number: 773-727-5355
Mailing Address
NICHOLAS JOHNSON APN
8455 S LUELLA AVE
CHICAGO, IL 60617-1953
Phone number: 773-727-5355
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