Individual
MRS. GERALDINE ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
38W138 POLLITT DR, ELGIN, IL 60124-7950
(847) 695-0362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041199064
IL
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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