Individual
MAGGIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
(309) 344-9404
Mailing address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
(309) 344-9404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209014744
IL
363LF0000X
Family Nurse Practitioner
Primary
209014744
IL
Other
Enumeration date
09/20/2016
Last updated
01/01/2025
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