TARA JOHANNESEN

CHICAGO, IL
NPI1770332520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0200X Registered Nurse, Pediatrics
(Licence: IL  041.453775)
Enumeration Date2024-05-15
Last Update Date2024-05-15
Business Address
TARA JOHANNESEN
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 312-227-4000
Mailing Address
TARA JOHANNESEN
6439 N NATOMA AVE
CHICAGO, IL 60631-2053
Phone number: 630-947-4363
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