Individual
NNEBUIFE NKEM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1554 E 55TH ST, CHICAGO, IL 60615-5550
(800) 323-8622
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.012840
IL
Other
Enumeration date
07/30/2015
Last updated
04/25/2022
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