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Individual

MRS. ROBIN ANNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209010718
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209010718
STATE LICENSE NUMBER
IL
Enumeration date
09/22/2013
Last updated
09/22/2013
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