MARY CHRISTINE JOHANSEN

LONG GROVE, IL
NPI1689208928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209020614)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209.020914)
Enumeration Date2020-02-25
Last Update Date2023-03-07
Business Address
Ms. MARY CHRISTINE JOHANSEN APRN
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047-5292
Phone number: 847-719-2220
Mailing Address
Ms. MARY CHRISTINE JOHANSEN APRN
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047-5292
Phone number: 847-719-2220