Individual
MRS. SAMANTHA EMILIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1555 BARRINGTON RD, HOFFMAN ESTATES, IL 60169-1019
(847) 490-6932
(847) 490-2570
Mailing address
3027 COOKSON AVE, ELGIN, IL 60124-8938
(847) 873-2454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041394853
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.023447
IL
Other
Enumeration date
03/23/2021
Last updated
06/25/2021
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