Individual
MRS. ALICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
21 W MILLERS RD, DES PLAINES, IL 60016-2844
(847) 693-1836
Mailing address
21 W MILLERS RD, DES PLAINES, IL 60016-2844
(847) 693-1836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209024809
IL
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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