Individual
HEATHER JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3822 LAKE AVE, LAKE AVE., WILMETTE, IL 60091-1019
(847) 251-2496
Mailing address
3822 LAKE AVE, WILMETTE, IL 60091-1019
(847) 251-2496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209003029
IL
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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