# JOURNEY AWARENESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134778996
- **Authorized official:** GINGER DEAN NP (MANAGER)
- **Authorized official phone:** (708) 441-2158

## Contact information

- **Practice address:** 2843 CHICAGO RD, SOUTH CHICAGO HEIGHTS, IL 60411-4736
- **Practice address phone:** (708) 441-2158
- **Practice address fax:** (708) 575-1669
- **Mailing address:** 2843 CHICAGO RD, SOUTH CHICAGO HEIGHTS, IL 60411-4736
- **Mailing address phone:** (708) 441-2158
- **Mailing address fax:** (708) 575-1669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2019
- **Last updated:** 09/05/2019