Individual
MARKIZH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 S WELLS ST, 303, CHICAGO, IL 60609-1867
(773) 544-0504
Mailing address
3601 S WELLS ST, 303, CHICAGO, IL 60609-1867
(773) 544-0504
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041340029
IL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
209008754
IL
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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