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Organization
JOURNEY AWARENESS LLC
Active
Organization
JOURNEY AWARENESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER DEAN NP (MANAGER)
(708) 441-2158
Entity
Organization
Contact information
Practice address
2843 CHICAGO RD, SOUTH CHICAGO HEIGHTS, IL 60411-4736
(708) 441-2158
(708) 575-1669
Mailing address
2843 CHICAGO RD, SOUTH CHICAGO HEIGHTS, IL 60411-4736
(708) 441-2158
(708) 575-1669
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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